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Michael Muro

Nurse Practitioner, Adult Health in Ridgewood, NJ. Individual provider (NPI-1).

NPI number1720714769
StatusActive
Last updated in NPPESJul 30, 2022

Details

NPI
1720714769
Entity type
Individual (NPI-1)
Name
Michael Muro
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 30, 2022
Certification date
Jul 30, 2022
Last updated
Jul 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult Health26NJ01132400NJYes

Practice location

223 N Van Dien Ave
Ridgewood, NJ 07450-2726

Phone 201-447-8000

Mailing address

223 N Van Dien Ave
Ridgewood, NJ 07450-2726

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