ELLEN T VAN FOSSEN

STRATFORD, NJ
NPI1093795585
Former NameELLEN T DODDY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ  NN08244100)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NJ  NO08244100)
Enumeration Date2006-01-19
Last Update Date2016-01-06
Business Address
-- ELLEN T VAN FOSSEN RN, APN
42 LAUREL RD E UDP #1800
STRATFORD, NJ 08084-1354
Phone number: 856-566-6843
Mailing Address
-- ELLEN T VAN FOSSEN RN, APN
42 E LAUREL RD UDP #1800
STRATFORD, NJ 08084-1354
Phone number: 856-566-6843