Individual
GLENDA SORIANO FULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 836-4447
Mailing address
135 ANNAPOLIS ST, TINTON FALLS, NJ 07712-3176
(732) 836-4447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00396300
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NR10816300
NJ
Other
Enumeration date
11/12/2012
Last updated
05/14/2025
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