Individual
TAMARA WIJESINGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
Mailing address
72 GREENWAY DR, STATEN ISLAND, NY 10301-3366
(718) 607-1784
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP01033800
NJ
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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