Individual
JACLYN JOSEPHINE TROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
PO BOX 829642, PHILADELPHIA, PA 19182-9642
(866) 470-6626
(413) 599-0470
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00574100
NJ
363AS0400X
Surgical Physician Assistant
4510
CT
Other
Enumeration date
07/12/2019
Last updated
07/23/2021
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