Individual
OLIVER THEODORE INES TOLENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, NP, AGNP-C
Contact information
Practice address
33 OVERLOOK RD. MAC 1, SUITE 301, SUMMIT, NJ 07901
(908) 522-5045
(908) 522-5353
Mailing address
19 WILLIAM ST, SUMMIT, NJ 07901-3447
(718) 304-6306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15150300
NJ
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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