Individual
JESSICA C BETHELL BARSOCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3 COOPER PLZ RM 311, CAMDEN, NJ 08103
(856) 342-2683
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00069800
NJ
363A00000X
Physician Assistant
MA051299
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00256189
RAILROAD MEDICARE
PA
Enumeration date
03/03/2006
Last updated
04/17/2019
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