Individual
MS. LISA ANN DESIATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 BUSINESS PARK DR, SKILLMAN, NJ 08558-2601
(609) 279-4860
(609) 279-4850
Mailing address
42D CHICOPEE DR, PRINCETON, NJ 08540-1727
(609) 924-1161
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00071000
NJ
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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