Individual
ELIZABETH COOPER SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 S ORANGE AVE STE 203, LIVINGSTON, NJ 07039-5817
(973) 322-7977
Mailing address
200 S ORANGE AVE STE 203, LIVINGSTON, NJ 07039-5817
(973) 322-7977
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00353800
NJ
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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