NPI 1376964288 HEATHER BRYAN TEANECK NJ. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Heather Bryan - NPI: 1376964288

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: HEATHER BRYAN
NPI Number: 1376964288
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: 25MP00320300
Business Practice Address: 663 Palisade Ave
Cliffside Park, NJ - 070103012
Business Phone Number: 2019439100
Business Fax Number: 2019437308
Mailing Address: 111 Galway Pl,
TEANECK
State: NJ
Postal Code: 076663640
Phone Number: 2018339500
Fax Number: 2018620095
NPI Enumeration Date: 12/18/2013
NPI Last Update Date: 12/18/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363AS0400X
License Number: 25MP00320300
Healthcare Provider Taxonomy:
(Secondary)
Y
State: NJ
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Physician Assistant
Taxonomy Specialization: Surgical
Taxonomy Definition:


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