Individual provider · Type 1 NPI
Heather Bryan
Surgical Physician Assistant · Cliffside Park, NJ
NPI number
1376964288
Active
Practice location
663 Palisade Ave
Cliffside Park, NJ 07010-3012
Fax (201) 943-7308
Mailing address
111 Galway Pl
Teaneck, NJ 07666-3640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 25MP00320300 (NJ) |
Surgical Physician Assistant: Definition to come...
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Other surgical physician assistant providers in Cliffside Park
About NPI 1376964288
Heather Bryan's National Provider Identifier is 1376964288, issued on Dec 18, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cliffside Park, NJ. The record was last updated on Dec 18, 2013.