Individual
DANIELLE JOANNA DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
50 POMPTON AVE, VERONA, NJ 07044-2917
(973) 857-3400
Mailing address
50 POMPTON AVE, VERONA, NJ 07044-2917
(973) 857-3400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00205200
NJ
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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