Provider Demographics
NPI:1437451911
Name:TERRADO, MARIA CORAZON (RN)
Entity Type:Individual
Prefix:
First Name:MARIA CORAZON
Middle Name:
Last Name:TERRADO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MA. CORAZON
Other - Middle Name:
Other - Last Name:FIDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:302 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08010-1828
Mailing Address - Country:US
Mailing Address - Phone:609-387-8936
Mailing Address - Fax:
Practice Address - Street 1:ONE HAMILTON HEALTH PLACE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690
Practice Address - Country:US
Practice Address - Phone:609-586-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR07042700163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse