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Individual

REBECCA J NI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059306
PA
363AS0400X
Surgical Physician Assistant
Primary
MA059306
PA

Other

Enumeration date
09/29/2017
Last updated
01/27/2026
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