Doctor Name: | MS. EILEEN CIERI |
NPI Number: | 1013080282 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 26NNO6837100 |
Business Practice Address: | 1925 State Route 35 Wall Township, NJ - 077193512 |
Business Phone Number: | 7329740100 |
Business Fax Number: | 7329740137 |
Mailing Address: | 28 Throckmorton Ave, WEST LONG BRANCH |
State: | NJ |
Postal Code: | 077641318 |
Phone Number: | 7322299303 |
Fax Number: | 7329740137 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 12/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NNO6837100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |