Individual
TERESA BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
225 SUMMIT AVE, MONTVALE, NJ 07645-1523
(201) 775-7358
Mailing address
42 CHEROKEE AVE, ALLENDALE, NJ 07401-1305
(201) 694-3287
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00898100
NJ
Other
Enumeration date
06/03/2019
Last updated
12/27/2022
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