IDALISSIE ALTAGRACIA PEGUERO

NEWARK, NJ
NPI1689154437
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NJ  26NJ00838200)
Enumeration Date2018-08-20
Last Update Date2023-11-20
Business Address
Ms. IDALISSIE ALTAGRACIA PEGUERO APN, PMHNPBC
550 BROAD ST STE 606
NEWARK, NJ 07102-4537
Phone number: 201-822-1161
Mailing Address
Ms. IDALISSIE ALTAGRACIA PEGUERO APN, PMHNPBC
606 BROADWAY
PATERSON, NJ 07514-1916
Phone number: 973-523-4000
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