Individual
NICOLE ALYSSA MONTEMARANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 731-3600
Mailing address
286 MEADOWBROOK RD, WYCKOFF, NJ 07481-3436
(201) 783-6445
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QA02146800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA02146800
NEW JERSEY DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
12/15/2022
Last updated
12/15/2022
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