Individual
LYDIA MITTERMAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 WESCOTT DR, SUITE 102, FLEMINGTON, NJ 08822-4655
(908) 237-1148
(908) 237-1318
Mailing address
1 WESCOTT DR, SUITE 102, FLEMINGTON, NJ 08822-4655
(908) 237-1148
(908) 237-1318
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
NN56252
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8116709
—
NJ
Enumeration date
02/07/2006
Last updated
05/23/2012
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