Individual
MS. SANDRA L PAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MS
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
(973) 395-7084
Mailing address
10 PETER CIR, CLARK, NJ 07066-1219
(973) 676-1000
(973) 395-7084
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00071700
NJ
Other
Enumeration date
07/25/2006
Last updated
11/18/2010
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