Individual
MS. ARADIA SOPHIA TABASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
100 WITMER RD, SUITE 220, HORSHAM, PA 19044-2251
(800) 247-8060
Mailing address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00309700
NJ
Other
Enumeration date
06/28/2013
Last updated
04/10/2017
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