IAN TAVERAS

NEPTUNE, NJ
NPI1114756251
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ  26nj14958500)
Enumeration Date2024-07-29
Last Update Date2024-07-29
Business Address
IAN TAVERAS APN
1945 NJ-33
NEPTUNE, NJ 07753
Phone number: 732-775-5500
Mailing Address
IAN TAVERAS APN
1142 KENTON DR
TOMS RIVER, NJ 08753-3072
Phone number: 516-669-6366