Individual
MS. THEA COGAN-DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1314 PARK AVE STE 3, PLAINFIELD, NJ 07060-3253
(732) 209-5638
Mailing address
18 W ELM ST, NEW HAVEN, CT 06515-2129
(203) 804-3714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00374800
NJ
Other
Enumeration date
06/21/2010
Last updated
01/18/2024
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