ELLEN JO FASANARO

HAWTHORNE, NJ
NPI1760526610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NJ  26NN08252000)
Enumeration Date2007-02-16
Last Update Date2007-07-08
Business Address
Ms. ELLEN JO FASANARO NP
1114 GOFFLE RD
HAWTHORNE, NJ 07506-2014
Phone number: 973-427-7676
Mailing Address
Ms. ELLEN JO FASANARO NP
1114 GOFFLE RD
HAWTHORNE, NJ 07506-2014
Phone number: 973-427-7676
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