Individual
JACQUELYN BRONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10 PARSONAGE RD STE 118, EDISON, NJ 08837-2429
(732) 494-9400
(732) 548-3931
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
25MP00743700
NJ
363AS0400X
Surgical Physician Assistant
Primary
25MP00743700
NJ
Other
Enumeration date
11/16/2022
Last updated
04/21/2023
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