Cerullo, Mary M

Cerullo, Mary M is an individual health care provider with primary practice located at 216 W State St , Media PA 19063-3113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Cerullo, Mary M can be contacted via phone (610) 565-1068.

Contact Information

Primary practice address
216 W State St Media PA 19063-3113
Phone: (610) 565-1068
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X SP001972G Pennsylvania

Profile Details

NPI number 1386878320
LBN Legal business name Cerullo, Mary M
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2009
Last updated May 5th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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