Individual
ALEXANDRA BADIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
311 BAY AVE STE 20, GLEN RIDGE, NJ 07028-1607
(973) 746-2200
Mailing address
66 BROOKDALE AVE, NUTLEY, NJ 07110-1007
(201) 577-8156
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00665500
NJ
Other
Enumeration date
09/29/2021
Last updated
02/01/2022
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