Individual
SUMMER BARDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2315 ROUTE 34, MANASQUAN, NJ 08736-1444
(732) 974-0404
Mailing address
2315 ROUTE 34, MANASQUAN, NJ 08736-1444
(732) 974-0404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00234100
NJ
Other
Enumeration date
03/06/2010
Last updated
07/20/2016
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