Doctor Name: | MRS. JODI GALESI |
NPI Number: | 1356575104 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.P.N-C. |
License Number: | 26NN08096900 |
Business Practice Address: | 242 W Parkway Cmh Occupational Health Center Pompton Plains, NJ - 074441029 |
Business Phone Number: | 9738315393 |
Business Fax Number: | 9738315211 |
Mailing Address: | 66 West Gilbert Street, 2nd Floor RED BANK |
State: | NJ |
Postal Code: | 077014918 |
Phone Number: | 7322120051 |
Fax Number: | 7322120713 |
NPI Enumeration Date: | 05/07/2009 |
NPI Last Update Date: | 12/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NN08096900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |