Individual provider · Type 1 NPI

Alysha Theosmy, PA

Surgical Physician Assistant · Burlington, NJ

NPI number 1508117953 Active

Practice location

2103 Burlington Mount Holly Rd
Burlington, NJ 08016-4157

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA055669 (PA)
Medical Physician Assistant 363AM0700X25MP00298200 (NJ)
Surgical Physician Assistant Primary 363AS0400X25MP00298200 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1508117953

Alysha Theosmy, PA's National Provider Identifier is 1508117953, issued on Sep 25, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Burlington, NJ. The record was last updated on Oct 19, 2020.