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Individual

MARY TUBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
295 N FRANKLIN TPKE, RAMSEY, NJ 07446-2823
(551) 497-5679
(551) 497-5680
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA
363AM0700X
Medical Physician Assistant
Primary
25MP00269300
NJ

Other

Enumeration date
09/21/2010
Last updated
12/05/2022
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