Basic Information
Provider Information
NPI: 1558665786
EntityType: 2
ReplacementNPI:  
OrganizationName: HSWL FO CAPE MAY
LastName:  
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Credential:  
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Mailing Information
Address1: 2 W DELAWARE PKWY
Address2:  
City: VILLAS
State: NJ
PostalCode: 08251
CountryCode: US
TelephoneNumber: 6097707641
FaxNumber:  
Practice Location
Address1: 1 MUNRO AVE
Address2:  
City: CAPE MAY
State: NJ
PostalCode: 082045000
CountryCode: US
TelephoneNumber: 6098986964
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/03/2011
LastUpdateDate: 01/03/2011
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: BIANES
AuthorizedOfficialFirstName: JOCELYN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: REGISTERED NURSE
AuthorizedOfficialTelephone: 6098986964
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X26NR14790000NJN HospitalsGeneral Acute Care Hospital 
2865M2000X0001218487VAY HospitalsMilitary HospitalMilitary General Acute Care Hospital

No ID Information.


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