Individual
VANESSA D MONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
298 PASSAIC STREET, PASSAIC PEDIATRICS PA, PASSAIC, NJ 07055-1009
(973) 249-8100
(973) 249-8110
Mailing address
1014 MAPLE AVE, RIDGEFIELD, NJ 07657-1009
(973) 249-8100
(973) 249-8110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00500400
NJ
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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