Individual
GERARDINA PISERCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 BERGEN STREET, NEWARK, NJ 07101-1709
(973) 972-0186
Mailing address
14 FRANK TERRACE, WHIPPANY, NJ 07981
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00504700
NJ
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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