Individual
JULIA AGRESTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20 WILSEY SQ, RIDGEWOOD, NJ 07450-3793
(201) 449-1000
Mailing address
21 MCKINLEY ST, LINCOLN PARK, NJ 07035-1707
(973) 650-8594
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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