Individual
PRISCILLA DUERSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 LAFAYETTE DR, LOGAN TWP, NJ 08085-1437
(856) 812-0183
Mailing address
73 MANOR RD, DENVILLE, NJ 07834-2528
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
11/15/2019
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