Individual provider · Type 1 NPI

Johanna Kubichek

Medical Physician Assistant · West Orange, NJ

NPI number 1336697895 Active

Practice location

456 Prospect Ave
West Orange, NJ 07052-4112

Mailing address

328 W Saint Georges Ave
Linden, NJ 07036-5638

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X25MP00407800 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1336697895

Johanna Kubichek's National Provider Identifier is 1336697895, issued on Sep 13, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Orange, NJ. The record was last updated on May 12, 2021.