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Individual
ROBERT VILLA
Active
Individual
ROBERT VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MP00489400
NJ
363A00000X
Physician Assistant
Primary
25MP00489400
NJ
363AM0700X
Medical Physician Assistant
25MP00489400
NJ
363AS0400X
Surgical Physician Assistant
25MP00489400
NJ
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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