Individual
MS. TINA FERMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20 PROSPECT AVE STE 702, HACKENSACK, NJ 07601-1974
(908) 359-8980
Mailing address
20 PROSPECT AVE, HACKENSACK, NJ 07601-1997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00311700
NJ
Other
Enumeration date
07/29/2013
Last updated
09/20/2019
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