Individual
ALICE JEAN SPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
254 MOUNTAIN AVE, BUILDING B SUITE 102, HACKETTSTOWN, NJ 07840-2407
(908) 979-1621
Mailing address
10 DEVON RD, LONG VALLEY, NJ 07853-3233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004812-1
NY
363A00000X
Physician Assistant
Primary
25MP00027800
NJ
363AM0700X
Medical Physician Assistant
MA-002350-L
PA
Other
Enumeration date
04/06/2013
Last updated
04/06/2013
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