| Organization Name: | CCP FIRST ASSIST LLC |
| NPI Number: | 1023364312 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHRYN POCOROBA (OWNER) |
| Mailing Address: | 100 Madison Ave Morristown |
| State: | NJ US |
| Postal Code: | 079606136 |
| Phone Number: | 9739715000 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2012 |
| NPI Last Update Date: | 07/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 25MP00111000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |