Individual
TARA IAQUINTO CORRIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 792-5003
(732) 536-0919
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
25MP00282200
NJ
363A00000X
Physician Assistant
MA053716
PA
Other
Enumeration date
11/17/2009
Last updated
10/18/2022
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