Individual
MS. LILIBET MARIA PLASENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
100 ROOSEVELT AVE APT V10, CARTERET, NJ 07008-3483
(848) 250-2017
Mailing address
201 ROUTE 17 STE 501, RUTHERFORD, NJ 07070-2906
(201) 457-0044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00914800
NJ
363AS0400X
Surgical Physician Assistant
Primary
25MP00914800
NJ
Other
Enumeration date
02/08/2025
Last updated
04/04/2025
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