Individual
JESSICA ANNA LIDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
33 OVERLOOK RD STE 301, SUMMIT, NJ 07901-3563
(908) 522-5045
(908) 522-5353
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00998600
NJ
Other
Enumeration date
02/10/2026
Last updated
05/11/2026
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