Individual
PIER JOANNE C FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 RIVER AVE, KIMBALL MEDICAL CENTER, LAKEWOOD, NJ 08701-5237
(732) 363-1900
Mailing address
PO BOX 717, LIVINGSTON, NJ 07039-0717
(973) 740-0607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP000141500
NJ
Other
Enumeration date
07/15/2006
Last updated
10/28/2010
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