Allein Mallari Deocera PA-C

NPI 1417356288 - Physician Assistant - 363A00000X

NPI Details
NPI 1417356288
Gender Female
Enumeration Date 08/18/2014
Last Updated 08/18/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
203 GOLDMINE LN
OLD BRIDGE NJ, 08857-3330, US
Phone (732) 570-1679
Fax
Business Location
203 GOLDMINE LN
OLD BRIDGE NJ, 08857-3330, US
Phone (732) 570-1679
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New Jersey
License Number 25MP00344100
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According to our database, Ms. Allein Mallari Deocera PA-C NPI is 1417356288, taxonomy code is 363A00000X and license number is 25MP00344100, license state is located at New Jersey. Allein Mallari Deocera PA-C physically located at 203 Goldmine Ln, Old Bridge NJ, 08857-3330. NPI Number Allein Mallari Deocera PA-C has the Individual type.

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1417356288 NPI number is provided on an as is basis without warranty of any kind. 1417356288 is maintained by the National Plan & Provider Enumeration System. The contents of Allein Mallari Deocera PA-C are for informational purposes only.