Individual provider · Type 1 NPI

Kaitlin M. Bourdeau, PA

Physician Assistant · Bloomfield, NJ

NPI number 1780236489 Active

Practice location

1255 Broad St Ste 201A
Bloomfield, NJ 07003-3061

Call (973) 842-2100 Map

Mailing address

135 Brakeshoe Pl
Mahwah, NJ 07430-1102

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP00528000

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780236489

Kaitlin M. Bourdeau, PA's National Provider Identifier is 1780236489, issued on Jul 12, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bloomfield, NJ. The record was last updated on Jul 18, 2019.