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Individual

BETHANY S HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1680 ROUTE 23 STE 180, WAYNE, NJ 07470-7522
(866) 569-7049
Mailing address
104 WESMONT DR, WOOD RIDGE, NJ 07075-2150
(615) 636-7157

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MO00996800
NJ

Other

Enumeration date
03/03/2026
Last updated
03/03/2026
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