Individual
MARTINE P CAUSSIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
85 S MAPLE AVE, RIDGEWOOD, NJ 07450-4561
(201) 445-2830
Mailing address
85 S MAPLE AVE, RIDGEWOOD, NJ 07450-4561
(201) 445-2830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP0020110
NJ
363A00000X
Physician Assistant
Primary
25MP00201100
NJ
Other
Enumeration date
09/15/2008
Last updated
11/30/2022
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