Individual
MRS. RISA ANN COHEN-VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002720
NY
363AM0700X
Medical Physician Assistant
Primary
25MP00117400
NJ
Other
Enumeration date
04/05/2011
Last updated
02/28/2024
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