Individual
ANDREA R. MEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1 BAY ST, GLEN RIDGE, NJ 07028-1505
(973) 429-6200
Mailing address
1 BAY ST, GLEN RIDGE, NJ 07028-1505
(973) 429-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00221300
NJ
Other
Enumeration date
08/20/2009
Last updated
07/02/2016
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