Individual
VICTORIA ANNE LATELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MBS, PA-C
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 251-1086
Mailing address
1 JOHN F KENNEDY BLVD APT 9E, SOMERSET, NJ 08873-6906
(201) 874-8167
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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