Individual
LUCY TASHAROFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1255 RARITAN RD, CLARK, NJ 07066-1200
(848) 206-0072
(848) 206-0078
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00091100
NJ
Other
Enumeration date
10/08/2008
Last updated
10/07/2024
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