Individual
MISS ELIZABETH ANN VANDER VALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
174 EDISON RD, LAKE HOPATCONG, NJ 07849-2217
(973) 663-2700
Mailing address
174 EDISON RD, LAKE HOPATCONG, NJ 07849-2217
(973) 663-2700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00631200
NJ
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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