Individual
MRS. TARA VIGGIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2000
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
26NJ00466000
NJ
Other
Enumeration date
10/30/2013
Last updated
10/02/2015
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