Individual
TERESA PITERA-KMIOTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(973) 971-7188
(973) 290-8349
Mailing address
PRACTICE ASSOCIATES MEDICAL PA, PO BOX 23831, NEWARK, NJ 07189-0001
(973) 971-7188
(973) 290-8349
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00119700
NJ
Other
Enumeration date
06/06/2008
Last updated
08/12/2008
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