Individual
MS. TERESA KUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
480 RED HILL RD, MIDDLETOWN, NJ 07748
(848) 225-6000
Mailing address
480 RED HILL RD, MIDDLETOWN, NJ 07748-3052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018088
NY
363AS0400X
Surgical Physician Assistant
Primary
25MP00349800
NJ
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
10/23/2014
Last updated
08/20/2018
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