Doctor Name: | AMY DACILLO-CURSO |
NPI Number: | 1043483639 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | 430355 |
Business Practice Address: | 1 Robert Wood Johnson Pl New Brunswick, NJ - 089011928 |
Business Phone Number: | 7328283000 |
Business Fax Number: | |
Mailing Address: | 212 Broad St, MATAWAN |
State: | NJ |
Postal Code: | 077473228 |
Phone Number: | 6465057229 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2008 |
NPI Last Update Date: | 11/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 430355 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |