Individual
MRS. LINDA L FARAGASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6508 VENTNOR AVE, VENTNOR CITY, NJ 08406-2177
(609) 822-3027
(609) 822-5195
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(609) 822-3027
(609) 822-5195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01222100
NJ
Other
Enumeration date
12/16/2021
Last updated
07/12/2022
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