Individual
GRACE FIORENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
200 S NEW ROAD, SUITE 1, ABSECON, NJ 08201
(609) 641-2062
(609) 641-4633
Mailing address
PO BOX 876, ABSECON, NJ 08201-0876
(609) 641-2062
(609) 641-4633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB069439
NJ
Other
Enumeration date
08/28/2006
Last updated
06/10/2008
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