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Individual

GINX IVELISSE GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
200 PARK AVE, FLORHAM PARK, NJ 07932-1026
(973) 443-8401
Mailing address
200 PARK AVE, FLORHAM PARK, NJ 07932-1026
(973) 443-8401

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/24/2025
Last updated
10/24/2025
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