Individual
REBECCA PAUSTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 RAVINE DR, MATAWAN, NJ 07747-2843
(732) 547-1194
Mailing address
210 RAVINE DR, MATAWAN, NJ 07747-2843
(732) 547-1194
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR11620500
NJ
163W00000X
Registered Nurse
553205
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR11620500
NJ
Other
Enumeration date
01/17/2017
Last updated
03/22/2017
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