Individual
AUDREY ANNE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6013
Mailing address
1521 CARPENTER ST APT 2, PHILADELPHIA, PA 19146-2110
(607) 684-5465
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
25MP00913000
NJ
Other
Enumeration date
01/13/2025
Last updated
03/17/2025
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