Individual
TARA PRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
999 RARITAN RD, CLARK, NJ 07066-1757
(732) 381-9418
(732) 381-3733
Mailing address
999 RARITAN RD, CLARK, NJ 07066-1757
(732) 381-9418
(732) 381-3733
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00124200
NJ
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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