| Doctor Name: | MRS. ALYCIA LEIGH BISCHOF |
| NPI Number: | 1407995558 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN,C |
| License Number: | 26NN09845700 |
| Business Practice Address: | 1050 Mantua Pike Suite 200 Wenonah, NJ - 080901141 |
| Business Phone Number: | 8568530848 |
| Business Fax Number: | 8568531889 |
| Mailing Address: | 1050 Mantua Pike, Suite 200 WENONAH |
| State: | NJ |
| Postal Code: | 080901141 |
| Phone Number: | 8568530848 |
| Fax Number: | 8568531889 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 06/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 26NN09845700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |