Individual
ALYSSA DUMATOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 GALLOPING HILL RD STE 103, UNION, NJ 07083-7989
(908) 688-1550
Mailing address
288 N PROSPECT AVE, BERGENFIELD, NJ 07621-1247
(201) 281-8580
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ14995200
NJ
Other
Enumeration date
08/10/2024
Last updated
03/13/2025
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