Individual provider · Type 1 NPI

Nicole Phin

Medical Physician Assistant · Newark, NJ

NPI number 1760918262 Active

Practice location

617 Broad St
Newark, NJ 07102-4403

Fax (862) 246-7941

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X25MP00434300 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1760918262

Nicole Phin's National Provider Identifier is 1760918262, issued on May 4, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newark, NJ. The record was last updated on Aug 7, 2023.