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NPI Code Detail

MEDICARE: MELISA A TELEMAQUE NP

MEDICARE: MELISA A TELEMAQUE NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner26NJ00603900NJ
2363LA2200XAdult Health Nurse Practitioner307490NY

General Provider Information

NPI Number : 1346611894
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISA A TELEMAQUE NP
Provider Business Mailing Address
First Line : 1900 RARITAN RD
Second Line :
City : SCOTCH PLAINS
State : NJ
Zip : 07076-2963
Country : US
Telephone Number : 908-288-9138
Fax Number :
Provider Business Practice Location Address
First Line : 1900 RARITAN RD
Second Line :
City : SCOTCH PLAINS
State : NJ
Zip : 07076-2963
Country : US
Telephone Number : 201-310-9402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2015
Last Update Date : 05/17/2022

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