Individual provider · Type 1 NPI

Justin Peter Vangrouw

Medical Physician Assistant · Fair Lawn, NJ

NPI number 1740935048 Active

Practice location

28-04 Broadway
Fair Lawn, NJ 07410-3920

Fax (201) 791-3423

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1740935048

Justin Peter Vangrouw's National Provider Identifier is 1740935048, issued on Feb 15, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fair Lawn, NJ. The record was last updated on Feb 15, 2022.