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Organization · Physician Assistant · Wayne, NJ

NPI
1891808168
Type
Organization (Type 2)
Primary specialty
Physician Assistant
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363A00000X
License number
25MP0025700 (NJ)
Enumerated
2006-08-17
Last updated
2016-06-27
Practice location
12 Perera Ave
Wayne, NJ 07470-4330
(973) 902-2307

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