Individual
DEVIN MARIE HIMCHAK BRAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 PROSPECT AVE, SUITE 402, HACKENSACK, NJ 07601-1997
(551) 996-8777
Mailing address
20 PROSPECT AVE, SUITE 402, HACKENSACK, NJ 07601-1997
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
018085
NY
363AS0400X
Surgical Physician Assistant
Primary
25MP00376100
NJ
Other
Enumeration date
10/14/2014
Last updated
10/10/2019
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