Individual
PAULA WANDERLEY ASAIBENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
228 LAFAYETTE ST FL 5, NEWARK, NJ 07105-1815
(973) 491-5222
Mailing address
228 LAFAYETTE ST FL 5, NEWARK, NJ 07105-1815
(973) 491-5222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00793400
NJ
Other
Enumeration date
07/05/2023
Last updated
08/11/2023
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