Search › New Jersey › 183500000X
Tracey Licciardi, RPH
NPI 1740464031 · on the registry since 2007
Practice
- Address
- 375 Route 36
Port Monmouth, NJ 07758 - Phone
- (732) 787-1041
- Fax
- (732) 787-5632
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey