Individual
KELLY BUTRICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(800) 637-2374
Mailing address
1411 LONG POND DR, WARRINGTON, PA 18976-1336
(215) 593-7836
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00792300
NJ
363A00000X
Physician Assistant
—
PA
Other
Enumeration date
06/01/2023
Last updated
08/18/2023
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