Individual
KITABU CEESAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
30 PROSPECT AVE, EMERGENCY TRAUMA DEPT, HACKENSACK, NJ 07601-1914
(201) 996-4614
Mailing address
896 SUMMIT AVE, HACKENSACK, NJ 07601-1625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MO00152000
NJ
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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