| Doctor Name: | THERESA NACEY |
| NPI Number: | 1013139039 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 0110002531 |
| Business Practice Address: | 75 Veronica Ave Somerset, NJ - 088735002 |
| Business Phone Number: | 7322477444 |
| Business Fax Number: | 7322475119 |
| Mailing Address: | 75 Veronica Ave, SOMERSET |
| State: | NJ |
| Postal Code: | 088735002 |
| Phone Number: | 7322477444 |
| Fax Number: | 7322475119 |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 02/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0110002531 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |