Individual
KATHRYN JULIA BACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1912 STATE ROUTE 35 STE 201, OAKHURST, NJ 07755-2768
(732) 389-5004
Mailing address
2 CROSSWICKS RD, FREEHOLD, NJ 07728-3009
(908) 217-5681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00642500
NJ
Other
Enumeration date
05/03/2021
Last updated
01/06/2026
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