Individual
MS. ANTOINETTE MCTIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 FAIRWOOD RD, MADISON, NJ 07940-1460
(973) 410-0363
Mailing address
65 FAIRWOOD RD, MADISON, NJ 07940-1460
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26N006434200
NJ
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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