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Individual
JESSICA C BETHELL BARSOCCHI
Active
Individual
JESSICA C BETHELL BARSOCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00069800
NJ
363A00000X
Physician Assistant
MA051299
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00256189
RAILROAD MEDICARE
PA
Enumeration date
03/03/2006
Last updated
04/17/2019
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