Individual
BRIDGET DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
240 WILLIAMSON ST, SUITE 204, ELIZABETH, NJ 07202-3674
(908) 355-8877
(908) 355-0017
Mailing address
240 WILLIAMSON ST, SUITE 204, ELIZABETH, NJ 07202-3674
(908) 355-8877
(908) 355-0017
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00366100
NJ
Other
Enumeration date
07/19/2015
Last updated
07/19/2015
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