Individual
MARIA J TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADVANCED PRACTICE RN
Contact information
Practice address
1163 ROUTE 37 W STE D4, TOMS RIVER, NJ 08755-4975
(732) 341-9494
Mailing address
17 KIM LN, TOMS RIVER, NJ 08755-6376
(848) 448-1067
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ01055100
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01055100
NJ
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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