Individual
LILJANA SPIDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
230 SHERMAN AVE, GLEN RIDGE, NJ 07028-1529
(973) 744-8585
(973) 748-5990
Mailing address
329 HARTFORD RD, SOUTH ORANGE, NJ 07079-2432
(973) 761-6863
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00150500
NJ
Other
Enumeration date
06/03/2006
Last updated
01/10/2010
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