Azalesha Abrahim Rodriguez M.S. PA-C

NPI 1760700843 - Physician Assistant - 363A00000X

NPI Details
NPI 1760700843
Gender Female
Enumeration Date 05/13/2010
Last Updated 01/07/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
241 MONMOUTH RD
WEST LONG BRANCH NJ, 07764-1177, US
Phone (732) 222-2250
Fax
Business Location
10 NOLAN DR
MILLSTONE TOWNSHIP NJ, 08510-9417, US
Phone (516) 320-5348
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 25MP00232600
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According to our database, Mrs. Azalesha Abrahim Rodriguez M.S. PA-C NPI is 1760700843, taxonomy code is 363A00000X and license number is 25MP00232600, license state is located at New York. Azalesha Abrahim Rodriguez M.S. PA-C physically located at 241 Monmouth Rd, West Long Branch NJ, 07764-1177. NPI Number Azalesha Abrahim Rodriguez M.S. PA-C has the Individual type.

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1760700843 NPI number is provided on an as is basis without warranty of any kind. 1760700843 is maintained by the National Plan & Provider Enumeration System. The contents of Azalesha Abrahim Rodriguez M.S. PA-C are for informational purposes only.