Individual
MS. CONSTANCE VICTORIA PROTENTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1820 STATE ROUTE 33 STE 4B, NEPTUNE, NJ 07753
(732) 776-8500
(732) 776-8946
Mailing address
1820 STATE ROUTE 33, STE 4B, NEPTUNE, NJ 07753-4860
(732) 776-8500
(732) 776-8946
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00473500
NJ
Other
Enumeration date
05/04/2018
Last updated
05/12/2025
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