Individual
MADISON HOPE DEBBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
123 METRO BLVD, NUTLEY, NJ 07110-6101
(973) 761-9000
Mailing address
507 E MAIN ST UNIT 5C, BOUND BROOK, NJ 08805-2303
(770) 883-0157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00866500
NJ
Other
Enumeration date
10/09/2023
Last updated
07/30/2024
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