Most Relevant Information
Provider Data
| NPI Number: | 1003407776 |
| Provider Name: | DEANNA MARIE SANACORE APN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ01107400 |
Most Important Dates
| Enumeration Date: | 01/26/2021 |
| Last Updated: | 08/18/2023 |
Provider Practice Location
342 HAMBURG TPKE STE 107
WAYNE
NJ
074702166
Practice Location Phone/Fax
| Phone: | 9738700777 |
| Fax: | 8884652135 |
Provider Mailing Location
38 TUXEDO DR
WAYNE
NJ
074702728
Provider Mailing Phone/Fax
| Phone: | 8625910454 |
| Fax: |