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Individual

PAUL LOUIS VETTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1140 BURNT TAVERN RD, STE 2A, BRICK, NJ 08724-1496
(732) 202-0700
(732) 202-0664
Mailing address
1140 BURNT TAVERN RD, STE 2A, BRICK, NJ 08724-1496
(732) 202-0700
(732) 202-0664

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA059615
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7061404
NJ
Enumeration date
03/02/2006
Last updated
07/08/2007
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