Individual provider · Type 1 NPI

Alexandra Badie, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Glen Ridge, NJ

NPI number 1194497198 Active

Practice location

311 Bay Ave Ste 20
Glen Ridge, NJ 07028-1607

Mailing address

66 Brookdale Ave
Nutley, NJ 07110-1007

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X25MP00665500 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1194497198

Alexandra Badie, PHYSICIAN ASSISTANT's National Provider Identifier is 1194497198, issued on Sep 29, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Glen Ridge, NJ. The record was last updated on Feb 1, 2022.