Individual
ROXANNE PISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8418
(201) 447-8658
Mailing address
379 SUMMERHILL DR, MORRIS PLAINS, NJ 07950-1180
(973) 984-5225
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010744
NY
363A00000X
Physician Assistant
Primary
25MP00145000
NJ
Other
Enumeration date
02/08/2007
Last updated
04/27/2009
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