Individual
ETA TZIPORAH ALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
39 JUMPING BROOK DR, LAKEWOOD, NJ 08701-3821
(773) 595-6453
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00509800
NJ
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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