Nicole Jahn PAC

NPI 1043388796 - Physician Assistant - 363A00000X

NPI Details
NPI 1043388796
Gender Female
Enumeration Date 12/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
90 MILLBURN AVE
SUITE 204
MILLBURN NJ, 07041, US
Phone (973) 484-6239
Fax (973) 484-6804
Business Location
PO BOX 247
SUMMIT NJ, 07901, US
Phone (973) 484-6239
Fax (973) 484-6804
Toxanomy
Taxonomy Code 363A00000X
License State New Jersey
License Number 25MP00166100
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According to our database, Nicole Jahn PAC NPI is 1043388796, taxonomy code is 363A00000X and license number is 25MP00166100, license state is located at New Jersey. Nicole Jahn PAC physically located at 90 Millburn Ave, Millburn NJ, 07041. NPI Number Nicole Jahn PAC has the Individual type.

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1043388796 NPI number is provided on an as is basis without warranty of any kind. 1043388796 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Jahn PAC are for informational purposes only.