Doctor Name: | KAREN A CUETO |
NPI Number: | 1003092933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 26NJ00063400 |
Business Practice Address: | 95 Old Short Hills Rd West Orange, NJ - 070521008 |
Business Phone Number: | 9087312220 |
Business Fax Number: | |
Mailing Address: | 95 Old Short Hills Rd, WEST ORANGE |
State: | NJ |
Postal Code: | 070521008 |
Phone Number: | 9087312220 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2008 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00063400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |