Individual
MR. DANIEL DEOLIVEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1486 WOODACRES DR, MOUNTAINSIDE, NJ 07092-1732
(908) 400-0890
Mailing address
1486 WOODACRES DR, MOUNTAINSIDE, NJ 07092-1732
(908) 400-0890
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00445200
NJ
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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