Basic Information
| Provider Information | |||||||||
| NPI: | 1790714103 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MAROLDO | ||||||||
| FirstName: | RITA | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 751 1/2 W POPLAR AVE | ||||||||
| Address2: | |||||||||
| City: | WILDWOOD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 082602255 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6095224897 | ||||||||
| FaxNumber: | 6095226637 | ||||||||
| Practice Location | |||||||||
| Address1: | 70 COHANSEY ST | ||||||||
| Address2: | |||||||||
| City: | BRIDGETON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 083021918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8564514700 | ||||||||
| FaxNumber: | 8564510029 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164W00000X | NN05289300 | NJ | Y | Nursing Service Providers | Licensed Practical Nurse |
No ID Information.