Individual
MRS. VESSELIA KAFOZOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 WEST WATER STREET, TOMS RIVER, NJ 08754
(732) 244-4700
(732) 244-2804
Mailing address
P.O. BOX 4979, TOMS RIVER, NJ 08754-4979
(732) 244-4700
(732) 244-2804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00097500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01147736
RAILROAD MEDICARE
NJ
Enumeration date
10/09/2007
Last updated
04/22/2013
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