Individual
JACQUELINE BANCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-3500
Mailing address
1 FARMINGTON CT, BORDENTOWN, NJ 08505-3183
(609) 462-9915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00366200
NJ
Other
Enumeration date
06/16/2015
Last updated
02/01/2023
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