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Mia Deritis
NPI 1073063012 · on the registry since 2016
Practice
- Address
- 1 Capital Way
Pennington, NJ 08534 - Phone
- (800) 637-2374
- Organisation at this address
- Capital Pathology
Capital Pharmacy Llc
Capital Health System
Center For Womens Health
Pediatrix Medical Group PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 282
Additional practice sites
- 1925 Pacific Ave, Atlantic City, NJ
- 2 Capital Way Ste 456, Pennington, NJ
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Medical Physician Assistant
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey