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Individual

JAIME MARIE LORETTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
242 HIGHWAY 79 N STE 8, MORGANVILLE, NJ 07751-2079
(732) 443-0300
(551) 236-2510
Mailing address
2 VICTORIAN WAY, COLTS NECK, NJ 07722-2103
(917) 690-0461

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013366-1
NY
363A00000X
Physician Assistant
085003663
IL
363AM0700X
Medical Physician Assistant
Primary
25MP00280700
NJ

Other

Enumeration date
09/24/2010
Last updated
05/28/2024
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