Individual
TATIANA D. DELL'AQUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
339 PASSAIC AVE, NUTLEY, NJ 07110-2738
(973) 542-2880
(973) 542-2881
Mailing address
339 PASSAIC AVE, NUTLEY, NJ 07110-2738
(973) 542-2880
(973) 542-2881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00199600
NJ
Other
Enumeration date
07/30/2008
Last updated
11/22/2011
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