Individual
LISA CSEDRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 LOCUST AVE, NORTH ARLINGTON, NJ 07031-5512
(201) 246-1111
(201) 955-7467
Mailing address
25 LOCUST AVE, NORTH ARLINGTON, NJ 07031-5512
(201) 246-1111
(201) 955-7467
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00204900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00204900
NEW JERSEY
NJ
Enumeration date
08/26/2008
Last updated
08/26/2008
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