Dafna Rachel Wild PA

NPI 1174750319 - Physician Assistant - 363A00000X

NPI Details
NPI 1174750319
Gender Female
Enumeration Date 06/15/2009
Last Updated 06/15/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
100 PAVONIA AVE
SUITE 409
JERSEY CITY NJ, 07310-2778, US
Phone (201) 626-4040
Fax
Business Location
100 PAVONIA AVE
SUITE 409
JERSEY CITY NJ, 07310-2778, US
Phone (201) 626-4040
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New Jersey
License Number 25MP00209700
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According to our database, Dafna Rachel Wild PA NPI is 1174750319, taxonomy code is 363A00000X and license number is 25MP00209700, license state is located at New Jersey. Dafna Rachel Wild PA physically located at 100 Pavonia Ave, Jersey City NJ, 07310-2778. NPI Number Dafna Rachel Wild PA has the Individual type.

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1174750319 NPI number is provided on an as is basis without warranty of any kind. 1174750319 is maintained by the National Plan & Provider Enumeration System. The contents of Dafna Rachel Wild PA are for informational purposes only.