Individual
ROBERTA VITCUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
224 HAMBURG TPKE, WAYNE, NJ 07470-2111
(973) 956-3520
Mailing address
224 HAMBURG TPKE, WAYNE, NJ 07470-2111
(973) 956-3520
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NN04249400
NJ
Other
Enumeration date
11/30/2006
Last updated
09/09/2008
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