Individual
MISS NICOLE BETTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 S VAN BRUNT ST STE 3, ENGLEWOOD, NJ 07631-4600
(201) 569-2770
Mailing address
504 VALLEY RD, STE 200, WAYNE, NJ 07470-3534
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00480900
NJ
Other
Enumeration date
10/17/2016
Last updated
08/02/2021
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