Iris Dubetsky P.A.

NPI 1194895649 - Physician Assistant - 363A00000X

NPI Details
NPI 1194895649
Gender Female
Enumeration Date 11/09/2006
Last Updated 03/26/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
28 THROCKMORTON LN
SUITE 204
OLD BRIDGE NJ, 08857-2558, US
Phone (732) 679-6300
Fax (732) 679-9566
Business Location
28 THROCKMORTON LN
SUITE 204
OLD BRIDGE NJ, 08857-2558, US
Phone (732) 679-6300
Fax (732) 679-9566
Toxanomy
Taxonomy Code 363A00000X
License State New Jersey
License Number MP000333
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According to our database, Iris Dubetsky P.A. NPI is 1194895649, taxonomy code is 363A00000X and license number is MP000333, license state is located at New Jersey. Iris Dubetsky P.A. physically located at 28 Throckmorton Ln, Old Bridge NJ, 08857-2558. NPI Number Iris Dubetsky P.A. has the Individual type.

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1194895649 NPI number is provided on an as is basis without warranty of any kind. 1194895649 is maintained by the National Plan & Provider Enumeration System. The contents of Iris Dubetsky P.A. are for informational purposes only.