Corina M Ianculovici, APRN, AG-PCP
NPI #1053818559 in Manasquan, New Jersey
Provider Information
- NPI Number
- 1053818559
- Entity Type
- Individual
- Name
- Corina M Ianculovici, APRN, AG-PCP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- APRN, AG-PCP
- Enumeration Date
- Apr 11, 2018
- Last Updated
- Oct 3, 2018
Practice Location
- Address
- 2640 HWY 70, BLDG.5
- Address 2
- BUILDING #5, SUITE 102B
- City
- Manasquan
- State
- New Jersey
- ZIP Code
- 08736-9552
- Phone
- (732) 292-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
| Nurse Practitioner - Primary Care — Primary Care |
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