Individual
JACLYN AZZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1203 LANGHORNE NEWTOWN RD STE 226, LANGHORNE, PA 19047-1224
(215) 710-5522
(215) 710-5181
Mailing address
41 UNIVERSITY DR STE 300, NEWTOWN, PA 18940-1873
(215) 710-5522
(215) 710-5181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00457000
NJ
363A00000X
Physician Assistant
Primary
MA059548
PA
363A00000X
Physician Assistant
OA004390
PA
Other
Enumeration date
12/01/2017
Last updated
01/18/2024
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