Individual
MRS. TERRI LEE COERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
90 BERGEN ST, SUITE 1200, NEWARK, NJ 07103-2425
(973) 972-5375
(973) 972-3897
Mailing address
40 LEWISBURG RD, SUSSEX, NJ 07461-3109
(973) 702-3477
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00018600
NJ
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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