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1003528050
KRISSA MATARLO-SMITH
EDISON, NJ
NPI
1003528050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ 26NJ01407500)
Enumeration Date
2022-12-21
Last Update Date
2022-12-21
Business Address
KRISSA MATARLO-SMITH APN
65 JAMES ST
EDISON, NJ 08820-3947
Phone number: 732-321-7733
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Mailing Address
KRISSA MATARLO-SMITH APN
37 8TH ST
RIDGEFIELD PARK, NJ 07660-1005
Phone number: 201-410-6108
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