Individual
MISS DANIELLE DEFOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1912 STATE ROUTE 35 STE 101, OAKHURST, NJ 07755-2768
(732) 222-4762
Mailing address
105 RAIDER BLVD STE 101, HILLSBOROUGH, NJ 08844-1528
(908) 281-0221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00510700
NJ
Other
Enumeration date
10/28/2018
Last updated
04/26/2024
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