Individual
MS. MERA BELLE GAMO DUMALAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
510 HAMBURG TPKE STE 208, WAYNE, NJ 07470-2033
(973) 904-3480
Mailing address
1-21 SUMMIT AVE, FAIR LAWN, NJ 07410-2044
(201) 773-0365
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00822500
NJ
Other
Enumeration date
07/12/2018
Last updated
11/04/2018
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