LORI MIDO

AVENEL, NJ
NPI1104036052
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ00023800)
Enumeration Date2007-05-22
Last Update Date2008-03-19
Business Address
-- LORI MIDO APN
89 WOODBINE AVE
AVENEL, NJ 07001-1003
Phone number: 732-602-8524
Mailing Address
-- LORI MIDO APN
89 WOODBINE AVE
AVENEL, NJ 07001-1003
Phone number: 732-602-8524