Individual
ASHLEY TAVARES KRIVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-6634
Mailing address
501 9TH ST APT 214, HOBOKEN, NJ 07030-2185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016982
NY
363A00000X
Physician Assistant
Primary
25MP00321600
NJ
Other
Enumeration date
09/18/2013
Last updated
08/06/2022
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