Iannaco, Dorothy

Iannaco, Dorothy is an individual health care provider with primary practice located at 239 Hurffville Crosskeys Rd Suite 160, Sewell NJ 08080-4002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Iannaco, Dorothy can be contacted via phone (856) 341-8200.

Contact Information

Primary practice address
239 Hurffville Crosskeys Rd Suite 160 Sewell NJ 08080-4002
Phone: (856) 341-8200
Fax: (856) 341-8215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00048000 New Jersey

Profile Details

NPI number 1649269309
LBN Legal business name Iannaco, Dorothy
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Oct 19th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649269309 NPPES
New Jersey MEDICAID 0055441

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