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Individual

DR. JEANETTE DIANE PATERNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
315 ROUTE 31 SOUTH, WASHINGTON, NJ 07882
(908) 689-0777
(908) 835-3037
Mailing address
10 BRASS CASTLE RD, WASHINGTON, NJ 07882-6309
(908) 689-0777
(908) 835-3036

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MAO62923
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7318804
NJ
Enumeration date
02/07/2006
Last updated
01/30/2015
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