| Doctor Name: | MARY L DALESSANDRO |
| NPI Number: | 1467678821 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 26NN10428800 |
| Business Practice Address: | 400 Cedar Ave West Long Branch, NJ - 077641804 |
| Business Phone Number: | 7325713464 |
| Business Fax Number: | 7322635353 |
| Mailing Address: | 451 Marl Rd, COLTS NECK |
| State: | NJ |
| Postal Code: | 077221349 |
| Phone Number: | 7325300739 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NN10428800 |
| 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: | |