NPI 1164616926

Teresa Hartman, PAC

Practitioner Surgical Physician Assistant Montclair, NJ

Practice location

Address: 37 N Fullerton Ave, Montclair, NJ 07042-3426
Phone: (973) 233-1933

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 25MP00170300 (NJ)

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Registry record

NPI: 1164616926
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2007
Record last updated: 4 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.