Shannon L Welner PA-C

NPI 1497966980 - Physician Assistant - 363AM0700X

NPI Details
NPI 1497966980
Gender Female
Enumeration Date 05/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
60 POMPTON AVE
VERONA NJ, 07044-2946, US
Phone (973) 571-2121
Fax (973) 571-2126
Business Location
60 POMPTON AVE
VERONA NJ, 07044-2946, US
Phone (973) 571-2121
Fax (973) 571-2126
Toxanomy
Taxonomy Code 363AM0700X
License State New Jersey
License Number 25MP00146000
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According to our database, Shannon L Welner PA-C NPI is 1497966980, taxonomy code is 363AM0700X and license number is 25MP00146000, license state is located at New Jersey. Shannon L Welner PA-C physically located at 60 Pompton Ave, Verona NJ, 07044-2946. NPI Number Shannon L Welner PA-C has the Individual type.

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1497966980 NPI number is provided on an as is basis without warranty of any kind. 1497966980 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon L Welner PA-C are for informational purposes only.