Individual
PAIGE THOMASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 EDISON PLACE #402, NEWARK, NJ 07102
(336) 491-4600
Mailing address
35 EDISON PLACE #402, NEWARK, NJ 07102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TR00613300
NJ
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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