Individual
TIFFANY A PIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
342 HAMBURG TPKE STE 202, WAYNE, NJ 07470-2166
(973) 870-0777
Mailing address
342 HAMBURG TPKE STE 202, WAYNE, NJ 07470-2166
(973) 870-0777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00590400
NJ
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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