Individual provider · Type 1 NPI

Edwin J. Custodio, APN

Family Nurse Practitioner · Hammonton, NJ

NPI number 1174318844 Active

Practice location

860 S White Horse Pike
Hammonton, NJ 08037-2018

Fax (609) 567-1951

Mailing address

521 Richard Dr
Millville, NJ 08332-4040

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NJ15527500 (NJ)

Family Nurse Practitioner: Definition to come...

20 other providers at this address

Other family nurse practitioner providers in Hammonton

See all in Hammonton →

About NPI 1174318844

Edwin J. Custodio, APN's National Provider Identifier is 1174318844, issued on Apr 11, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hammonton, NJ. The record was last updated on Apr 28, 2026.