Martine Caussimon PA

NPI 1699924761 - Physician Assistant - 363A00000X

NPI Details
NPI 1699924761
Gender Female
Enumeration Date 09/15/2008
Last Updated 12/12/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
85 S MAPLE AVE
RIDGEWOOD NJ, 07450-4561, US
Phone (201) 445-2830
Fax
Business Location
85 S MAPLE AVE
RIDGEWOOD NJ, 07450-4561, US
Phone (201) 445-2830
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New Jersey
License Number 25MP0020110
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According to our database, Martine Caussimon PA NPI is 1699924761, taxonomy code is 363A00000X and license number is 25MP0020110, license state is located at New Jersey. Martine Caussimon PA physically located at 85 S Maple Ave, Ridgewood NJ, 07450-4561. NPI Number Martine Caussimon PA has the Individual type.

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1699924761 NPI number is provided on an as is basis without warranty of any kind. 1699924761 is maintained by the National Plan & Provider Enumeration System. The contents of Martine Caussimon PA are for informational purposes only.