Aradia Sophia Herbst-gervasoni MS, PA-C

NPI 1487094967 - Physician Assistant - 363A00000X

NPI Details
NPI 1487094967
Gender Female
Enumeration Date 06/28/2013
Last Updated 06/28/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
100 WITMER RD
SUITE 220
HORSHAM PA, 19044-2251, US
Phone (800) 247-8060
Fax
Business Location
39 HERON CT
MANALAPAN NJ, 07726-9024, US
Phone (609) 954-9888
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New Jersey
License Number 25MP00309700
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According to our database, Ms. Aradia Sophia Herbst-gervasoni MS, PA-C NPI is 1487094967, taxonomy code is 363A00000X and license number is 25MP00309700, license state is located at New Jersey. Aradia Sophia Herbst-gervasoni MS, PA-C physically located at 100 Witmer Rd, Horsham PA, 19044-2251. NPI Number Aradia Sophia Herbst-gervasoni MS, PA-C has the Individual type.

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1487094967 NPI number is provided on an as is basis without warranty of any kind. 1487094967 is maintained by the National Plan & Provider Enumeration System. The contents of Aradia Sophia Herbst-gervasoni MS, PA-C are for informational purposes only.