Individual
JAMIE AUSTIN PACILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
211 BROAD ST STE 207, RED BANK, NJ 07701-2009
(732) 576-3727
(630) 487-2411
Mailing address
211 BROAD ST STE 207, RED BANK, NJ 07701-2009
(732) 576-3727
(630) 487-2411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00584400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/30/2019
Last updated
01/01/2024
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