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1912989435
GRACE MARIE MAZZATTA
RED BANK, NJ
NPI
1912989435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NJ 26NN08727500)
Enumeration Date
2005-11-18
Last Update Date
2018-05-09
Business Address
MS. GRACE MARIE MAZZATTA APN
1 RIVERVIEW MEDICAL CENTER
RED BANK, NJ 07701
Phone number: 732-530-2572
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Mailing Address
MS. GRACE MARIE MAZZATTA APN
425 JACK MARTIN BLVD
BRICK, NJ 08724-7732
Phone number: 732-840-0697
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