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Individual

GIACOMINA CARMELA SOREZZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
193 ROUTE 9 STE 2A, MANALAPAN, NJ 07726-3016
(732) 558-0116
Mailing address
267 BETSY ROSS DR, FREEHOLD, NJ 07728-4223
(732) 558-0116

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01127100
NJ
363LF0000X
Family Nurse Practitioner
345765
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
345765
NY
Enumeration date
11/03/2020
Last updated
05/10/2021
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