Individual provider · Type 1 NPI
Lucy Tasharofi, PA
Medical Physician Assistant · Clark, NJ
NPI number
1205087202
Active
Practice location
1255 Raritan Rd
Clark, NJ 07066-1200
Fax (848) 206-0078
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 25MP00091100 (NJ) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Clark
About NPI 1205087202
Lucy Tasharofi, PA's National Provider Identifier is 1205087202, issued on Oct 8, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clark, NJ. The record was last updated on Oct 7, 2024.