Formisano, Karen Diane

Formisano, Karen Diane is an individual health care provider with primary practice located at 4122 Route 516 , Matawan NJ 07747-7031. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Formisano, Karen Diane can be contacted via phone (732) 679-4500.

Contact Information

Primary practice address
4122 Route 516 Matawan NJ 07747-7031
Phone: (732) 679-4500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1841552668
LBN Legal business name Formisano, Karen Diane
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2012
Last updated Jan 31st, 2017 - about 7 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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