Individual
DR. NKEM VESTA NNAETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169-177 CENTRAL AVE, ORANGE, NJ 07050-3430
(973) 674-0036
(973) 674-0322
Mailing address
169-177 CENTRAL AVE, ORANGE, NJ 07050-3430
(973) 674-0036
(973) 674-0322
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA064233
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7065906
—
NJ
Enumeration date
04/03/2006
Last updated
01/28/2022
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