Individual
ERIN ELISABETH MARTHEDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, MEB 104, NEW BRUNSWICK, NJ 08901-1928
(732) 235-8717
(732) 235-7379
Mailing address
47 MERCER ST APT 3A, JERSEY CITY, NJ 07302-5530
(559) 940-2606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00238300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00981583
RR MCR
NJ
Enumeration date
07/15/2010
Last updated
03/17/2025
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