Individual
JAVIER FERRANDIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
199 N WYOMING AVE, SOUTH ORANGE, NJ 07079-1529
(646) 245-1597
Mailing address
199 N WYOMING AVE, SOUTH ORANGE, NJ 07079-1529
(646) 245-1597
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00370600
NJ
363AS0400X
Surgical Physician Assistant
018747
NY
Other
Enumeration date
07/17/2015
Last updated
04/26/2023
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