Individual
JUDYTH VALERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
181 FRANKLIN AVE, NUTLEY, NJ 07110-3820
(973) 667-8117
(973) 667-6642
Mailing address
66 SOMME ST, NEWARK, NJ 07105-3612
(973) 522-0006
(973) 522-0666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00050800
NJ
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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