Individual
MS. JESSICA SHARIFI-AZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
525 ROUTE 73 N STE 117, MARLTON, NJ 08053-3422
(888) 803-3370
Mailing address
525 ROUTE 73 N STE 117, MARLTON, NJ 08053-3422
(888) 803-3370
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
25MP00527200
NJ
363AM0700X
Medical Physician Assistant
MA056645
PA
363AM0700X
Medical Physician Assistant
Primary
MS1705384
NY
Other
Enumeration date
12/03/2008
Last updated
07/30/2025
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