Individual
DIANE MARIE NIESTEPSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
653 WILLOW GROVE ST, SUITE 2000, HACKETTSTOWN, NJ 07840-1732
(908) 684-3005
(908) 684-3301
Mailing address
376 LAFAYETTE RD, STE 202, SPARTA, NJ 07871-3560
(908) 684-3005
(908) 684-3301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00157300
NJ
363AS0400X
Surgical Physician Assistant
25MP00157300
NJ
Other
Enumeration date
09/11/2006
Last updated
03/19/2019
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