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Thea De Guzman Intal, FNP-C
Family Nurse Practitioner in Belleville, New Jersey
NPI 1093596744

Thea De Guzman Intal is a Family Nurse Practitioner based in Belleville, NJ and is specialized in Family. Thea De Guzman Intal practices in Belleville, NJ and has the professional credentials of FNP-C. The NPI Number for Thea De Guzman Intal is 1093596744 and holds a License No. 26NJ14933100 (New Jersey).

The current practice location address for Thea De Guzman Intal is 36 Newark Ave Ste 300, Belleville, NJ and can be reached out via phone at 973-873-0195.

Location: 36 Newark Ave Ste 300, Belleville, NJ, 07109-4122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093596744
Provider Name
Thea De Guzman Intal
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
36 Newark Ave Ste 300, Belleville, NJ, 07109-4122
Phone Number
973-873-0195
Fax Number
Provider Enumeration Date
10/09/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0960691 05 NJ
institution
Provider Business Practice Location Address Details
Address
36 Newark Ave Ste 300
City
Belleville
State
New Jersey
Zip
07109-4122
Phone Number
973-873-0195
Fax Number
person
Provider Business Mailing Address Details
Address
36 Newark Ave Ste 300
City
Belleville
State
New Jersey
Zip
07109-4122
Phone Number
973-873-0195
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
26NJ14933100 (New Jersey)
Definition
Definition to come...
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