Individual
MRS. REGINA WITTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.F.A.
Contact information
Practice address
271 GRANDE RIVER BLVD, TOMS RIVER, NJ 08755-1188
(732) 240-2852
Mailing address
271 GRANDE RIVER BLVD, TOMS RIVER, NJ 08755-1188
(732) 240-2852
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO06031600
NJ
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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