Individual
CHRISTINA TERESA AZOIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5000
Mailing address
15 LOESER AVE, CLARK, NJ 07066-2523
(732) 499-7387
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00230000
NJ
363AM0700X
Medical Physician Assistant
25MP00230000
NJ
363AS0400X
Surgical Physician Assistant
25MP00230000
NJ
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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