Individual
MS. KRISTA D AGHAZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
017699-1
NY
363AS0400X
Surgical Physician Assistant
25MP00344500
NJ
363AS0400X
Surgical Physician Assistant
3137
CT
Other
Enumeration date
07/18/2014
Last updated
03/17/2018
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