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Contact Information

CONSTANCE V PROTENTIS, PA-C
1820 STATE ROUTE 33 STE 4B
NEPTUNE CITY, NJ07753
 Phone: 732-776-8500
 Fax: 732-776-8946
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CONSTANCE V PROTENTIS · (Female)

NPI Number 1265921290
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/04/2018
Last updated 05/12/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00473500
Hospital affiliation(s)
  • RIVERVIEW MEDICAL CENTER - (Acute Care)
    ONE RIVERVIEW PLAZA
    RED BANK, NJ 07701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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