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NPI Profile for OLIVIA A BALDISSEROTTO in BASKING RIDGE, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1821475666 |
|
| Status | Active | |
| Credentials | F.N.P | |
| Entity | Individual | |
| Enumeration date | 04/30/2015 | |
| Last updated | 01/26/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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OLIVIA A BALDISSEROTTO
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OLIVIA A BALDISSEROTTO, F.N.P