Doctor Name: | MS. MONIQUE CIMORELLI |
NPI Number: | 1235127309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P |
License Number: | 26NN10761400 |
Business Practice Address: | 680 Blair Mill Rd Horsham, PA - 190442223 |
Business Phone Number: | 8662979232 |
Business Fax Number: | 8888168109 |
Mailing Address: | 125 E Franklin Ave, EDGEWATER PARK |
State: | NJ |
Postal Code: | 080101846 |
Phone Number: | 6096058035 |
Fax Number: | 6095265799 |
NPI Enumeration Date: | 10/12/2005 |
NPI Last Update Date: | 05/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NN10761400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |