Individual provider · Type 1 NPI
Marilyn Soberano Iv, HEMODIALYSIS RN.
Hemodialysis Registered Nurse · Randolph, NJ
NPI number
1215334347
Active
Practice location
2105 Barclay Ct
Randolph, NJ 07869-1270
Fax (973) 927-1873
Mailing address
PO Box 224
Dover, NJ 07802-0224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hemodialysis Registered Nurse Primary | 163WH0500X | 26NO10205000 (NJ) |
Hemodialysis Registered Nurse: Definition to come...
About NPI 1215334347
Marilyn Soberano Iv, HEMODIALYSIS RN.'s National Provider Identifier is 1215334347, issued on Dec 4, 2014. The primary taxonomy on file is Hemodialysis Registered Nurse (163WH0500X), and the practice location is in Randolph, NJ. The record was last updated on Dec 8, 2014.