Organization · Type 2 NPI
MG Physician Assistant PLLC
Surgical Physician Assistant · Ridgewood, NJ
NPI number
1679167977
Active
Practice location
414 Smith Pl Apt 1
Ridgewood, NJ 07450-1402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
About NPI 1679167977
MG Physician Assistant PLLC's National Provider Identifier is 1679167977, issued on Feb 26, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Ridgewood, NJ. The record was last updated on Jul 6, 2026.