MISS Mia Deritis
NPI #1073063012 in Pennington, New Jersey
Provider Information
- NPI Number
- 1073063012
- Entity Type
- Individual
- Name
- MISS Mia Deritis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 13, 2016
- Last Updated
- Dec 9, 2024
Practice Location
- Address
- 1 CAPITAL WAY
- City
- Pennington
- State
- New Jersey
- ZIP Code
- 08534-2520
- Phone
- (800) 637-2374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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