Individual
MRS. BENETTA S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
81 WALL ST, METUCHEN, NJ 08840-2857
(732) 452-1776
Mailing address
81 WALL ST, METUCHEN, NJ 08840-2857
(732) 452-1776
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26N012455200
NJ
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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