Basic Information
| Provider Information | |||||||||
| NPI: | 1437451911 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TERRADO | ||||||||
| FirstName: | MARIA CORAZON | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | FIDEL | ||||||||
| OtherFirstName: | MA. CORAZON | ||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | |||||||||
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| OtherCredential: | RN | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 302 WILSON AVE | ||||||||
| Address2: | |||||||||
| City: | EDGEWATER PARK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080101828 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6093878936 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | ONE HAMILTON HEALTH PLACE | ||||||||
| Address2: | |||||||||
| City: | HAMILTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08690 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6095867900 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/03/2010 | ||||||||
| LastUpdateDate: | 12/03/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 26NR07042700 | NJ | Y | Nursing Service Providers | Registered Nurse |
No ID Information.