Individual
MS. CARLY TEPFENHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 N FINLEY AVE, BASKING RIDGE, NJ 07920-1686
(908) 340-4269
Mailing address
150 N FINLEY AVE, BASKING RIDGE, NJ 07920-1686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00662100
NJ
Other
Enumeration date
11/09/2021
Last updated
03/17/2022
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