Individual
MS. BETTY A DITILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
349 E NORTHFIELD RD, LIVINGSTON, NJ 07039-4806
(973) 597-0900
(973) 597-0910
Mailing address
415 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 206-0800
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN07618800
NJ
Other
Enumeration date
11/08/2005
Last updated
01/24/2019
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