Heather Bryan

NPI 1376964288 - Physician Assistant - 363AS0400X

NPI Details
NPI 1376964288
Gender Female
Enumeration Date 12/18/2013
Last Updated 12/18/2013
Entity Type Individual
Active Over 2 years ago
Practice Location
663 PALISADE AVE
CLIFFSIDE PARK NJ, 07010-3012, US
Phone (201) 943-9100
Fax (201) 943-7308
Business Location
111 GALWAY PL
TEANECK NJ, 07666-3640, US
Phone (201) 833-9500
Fax (201) 862-0095
Toxanomy
Taxonomy Code 363AS0400X
License State New Jersey
License Number 25MP00320300
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According to our database, Heather Bryan NPI is 1376964288, taxonomy code is 363AS0400X and license number is 25MP00320300, license state is located at New Jersey. Heather Bryan physically located at 663 Palisade Ave, Cliffside Park NJ, 07010-3012. NPI Number Heather Bryan has the Individual type.

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1376964288 NPI number is provided on an as is basis without warranty of any kind. 1376964288 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Bryan are for informational purposes only.