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Dr. Consetta Mae Cheatam, MD
Specialist in Rutherford, New Jersey
NPI 1619989860

Consetta Mae Cheatam is a Specialist based in Rutherford, NJ. Consetta Mae Cheatam practices in Rutherford, NJ and has the professional credentials of MD. The NPI Number for Consetta Mae Cheatam is 1619989860 and holds a License No. MA070577 (New Jersey).

The current practice location address for Consetta Mae Cheatam is 22 Sylvan St Ste 300, Rutherford, NJ and can be reached out via phone at 201-438-8860 and via fax at 201-438-1994.

Location: 22 Sylvan St Ste 300, Rutherford, NJ, 07070-2087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619989860
Provider Name
Consetta Mae Cheatam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
22 Sylvan St Ste 300, Rutherford, NJ, 07070-2087
Phone Number
201-438-8860
Fax Number
201-438-1994
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8271500 05 NJ
institution
Provider Business Practice Location Address Details
Address
22 Sylvan St Ste 300
City
Rutherford
State
New Jersey
Zip
07070-2069
Phone Number
201-438-8860
Fax Number
201-438-1994
person
Provider Business Mailing Address Details
Address
22 Sylvan St Ste 300
City
Rutherford
State
New Jersey
Zip
07070-2069
Phone Number
201-438-8860
Fax Number
201-438-1994
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA070577 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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