Individual
OLIVIA AYSE BALDISSEROTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P
Contact information
Practice address
136 MOUNTAINVIEW BLVD, BASKING RIDGE, NJ 07920-3444
(908) 542-3401
Mailing address
1500 WASHINGTON ST APT 6A, HOBOKEN, NJ 07030-6736
(203) 526-5560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
339381
NY
Other
Enumeration date
04/30/2015
Last updated
01/26/2018
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