Individual provider · Type 1 NPI

Christine Vivolo, PA

Surgical Physician Assistant · Paramus, NJ

NPI number 1043089576 Active

Practice location

230 E Ridgewood Ave
Paramus, NJ 07652-4142

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X25MP00818000 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1043089576

Christine Vivolo, PA's National Provider Identifier is 1043089576, issued on Dec 26, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Paramus, NJ. The record was last updated on Dec 26, 2023.