Individual
MRS. PATRICIA KONSTANTAROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
110 GROVE AVE, CEDAR GROVE, NJ 07009-1436
(862) 214-3786
Mailing address
110 GROVE AVENUE, CEDAR GROVE, NJ 07009-2834
(973) 571-6600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00594000
NJ
Other
Enumeration date
10/03/2015
Last updated
05/31/2016
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