Individual
CARLY ANNE PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 S ORANGE AVE STE 295, LIVINGSTON, NJ 07039-5817
(610) 716-3599
Mailing address
200 S ORANGE AVE STE 295, LIVINGSTON, NJ 07039-5817
(610) 716-3599
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
032051
NY
Other
Enumeration date
06/14/2024
Last updated
09/17/2024
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