Individual
JAMES MANUEL FEDERICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 CHANGEBRIDGE RD BLDG C3, MONTVILLE, NJ 07045-9112
(973) 575-5540
Mailing address
45 MANCHESTER WAY, PINE BROOK, NJ 07058-9553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00797100
NJ
Other
Enumeration date
07/17/2023
Last updated
01/15/2024
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