Individual
MRS. GARIKIPARTHY NAGA JYOTHIRMAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 OLD SHORT HILLS RD, SUITE # 201, LIVINGSTON, NJ 07039-5604
(973) 535-8870
(973) 535-8818
Mailing address
22 OLD SHORT HILLS RD, SUITE # 201, LIVINGSTON, NJ 07039-5604
(973) 535-8870
(973) 535-8818
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00166200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00166200
NJ LICENSE
NJ
Enumeration date
03/02/2007
Last updated
07/08/2007
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