| Doctor Name: | PATRICIA R GARDUNO |
| NPI Number: | 1407954290 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NN05197900 |
| Business Practice Address: | 1301 Main St Asbury Park, NJ - 077125359 |
| Business Phone Number: | 7327746333 |
| Business Fax Number: | 7327740313 |
| Mailing Address: | 1301 Main St, ASBURY PARK |
| State: | NJ |
| Postal Code: | 077125359 |
| Phone Number: | 7327746333 |
| Fax Number: | 7327740313 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 01/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 26NN05197900 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |