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Individual

MS. ATARA HAKAKIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
151 WILLIAMSBURG LN, LAKEWOOD, NJ 08701-1476
(347) 733-2493
(310) 428-6510
Mailing address
151 WILLIAMSBURG LN, LAKEWOOD, NJ 08701-1476
(347) 733-2493

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00455600
NJ

Other

Enumeration date
12/18/2017
Last updated
12/18/2017
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