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Individual

MS. THERESE POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S, P.A.-C

Contact information

Practice address
350 ENGLE ST, DEPT OF CARDIAC SURGERY, ENGLEWOOD, NJ 07631-1808
(201) 894-3636
(201) 541-2188
Mailing address
350 ENGLE ST, DEPT OF CARDIAC SURGERY, ENGLEWOOD, NJ 07631-1808
(201) 894-3636
(201) 541-2188

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00055600
NJ

Other

Enumeration date
04/30/2008
Last updated
04/30/2008
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