Individual provider · Type 1 NPI
Jennifer L. Corcoran, PA-C
Surgical Physician Assistant · Hazle Township, PA
NPI number
1881095735
Active
Practice location
50 Moisey Dr, Suite 214
Hazle Township, PA 18202-9297
Fax (570) 501-6945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1881095735
Jennifer L. Corcoran, PA-C's National Provider Identifier is 1881095735, issued on Sep 10, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hazle Township, PA. The record was last updated on Sep 10, 2014.