Individual
MS. LAURA HELLER CORNIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 LONG ACRE DR, CREAM RIDGE, NJ 08514-1620
(609) 954-8310
Mailing address
2 LONG ACRE DR, CREAM RIDGE, NJ 08514-1620
(609) 954-8310
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YHZ71496113
—
NJ
Enumeration date
04/02/2018
Last updated
04/02/2018
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