Individual
BIANCA AYUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, PA-C
Contact information
Practice address
50 POMPTON AVE, VERONA, NJ 07044-2917
(973) 857-3400
Mailing address
50 POMPTON AVE, VERONA, NJ 07044-2917
(973) 857-3400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00426300
NJ
Other
Enumeration date
03/05/2017
Last updated
03/05/2017
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