Individual
BROOKE M. CONVENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
102 CENTRE BLVD STE E, MARLTON, NJ 08053-4129
(856) 988-6260
(856) 988-6270
Mailing address
102 CENTRE BLVD STE E, MARLTON, NJ 08053-4129
(856) 988-6260
(856) 988-6270
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR14882000
NJ
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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