TATIANA DEA

BLOOMFIELD, NJ
NPI1194354126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ00957700)
Enumeration Date2020-04-02
Last Update Date2020-04-02
Business Address
TATIANA DEA APN
1255 BROAD ST
BLOOMFIELD, NJ 07003-3000
Phone number: 201-833-9500
Mailing Address
TATIANA DEA APN
310 COPPERFIELD LN
METUCHEN, NJ 08840-1240
Phone number: 240-645-3252