Desane, Mary Teresa

Desane, Mary Teresa is an individual health care provider with primary practice located at 725 Airport Rd , Lakewood NJ 08701-5968. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Desane, Mary Teresa can be contacted via phone (732) 276-1510.

Contact Information

Primary practice address
725 Airport Rd Lakewood NJ 08701-5968
Phone: (732) 276-1510
Fax: (732) 363-5537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 26NJ00299700 New Jersey

Profile Details

NPI number 1497058275
LBN Legal business name Desane, Mary Teresa
Credentials APN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2010
Last updated Oct 27th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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