Individual
DR. CONSETTA MAE CHEATAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 SYLVAN ST STE 300, RUTHERFORD, NJ 07070-2069
(201) 438-8860
(201) 438-1994
Mailing address
22 SYLVAN ST STE 300, RUTHERFORD, NJ 07070-2087
(201) 438-8860
(201) 438-1994
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA070577
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8271500
—
NJ
Enumeration date
08/13/2006
Last updated
06/25/2013
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