Individual provider · Type 1 NPI
Consetta Mae Cheatam, MD
Specialist · Rutherford, NJ
NPI number
1619989860
Active
Practice location
22 Sylvan St Ste 300
Rutherford, NJ 07070-2069
Fax (201) 438-1994
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA070577 (NJ) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1619989860
Consetta Mae Cheatam, MD's National Provider Identifier is 1619989860, issued on Aug 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rutherford, NJ. The record was last updated on Jun 25, 2013.