Individual
DENISE CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 CENTRAL AVE FL 3, NEWARK, NJ 07102-1909
(973) 877-5300
(973) 877-2621
Mailing address
615 W 173RD ST APT 6C, NEW YORK, NY 10032-1618
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00108100
NJ
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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