Individual provider · Type 1 NPI
Ashley T. Reckdenwald, PA-C
Surgical Physician Assistant · Princeton, NJ
NPI number
1629324769
Active
Practice location
325 Princeton Ave
Princeton, NJ 08540-1617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 25MP00289300 (NJ) |
| Surgical Physician Assistant Primary | 363AS0400X | 25MP00289300 (NJ) |
Surgical Physician Assistant: Definition to come...
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About NPI 1629324769
Ashley T. Reckdenwald, PA-C's National Provider Identifier is 1629324769, issued on Jul 26, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Princeton, NJ. The record was last updated on Oct 2, 2019.