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Individual

MS. TERESA ENTERLANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
61 W JIMMIE LEEDS ROAD, POMONA, NJ 08240-0723
(609) 652-7000
(609) 748-7755
Mailing address
61 W JIMMIE LEEDS ROAD, POMONA, NJ 08240-0723
(609) 652-7000
(609) 748-7755

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NN7995000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0204684
NJ
Enumeration date
11/13/2006
Last updated
11/03/2009
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