Individual
LEAH PAIGE MAKAREVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 E BROWN ST, EAST STROUDSBURG, PA 18301-3006
(570) 421-4000
Mailing address
155 VAIL RD, COLUMBIA, NJ 07832-2431
(908) 642-8574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060407
PA
363A00000X
Physician Assistant
OA004713
PA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0671321
—
NJ
Enumeration date
09/11/2018
Last updated
05/06/2024
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