NPI | 1689003824 |
---|---|
Entity Type | Organization |
Authorized Contact | BETH M DAMATO-PANTANO Adult Nurse Practitioner 201-952-8411 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00465100) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00430500) |
Enumeration Date | 2013-11-07 |
Last Update Date | 2025-01-07 |