Individual provider · Type 1 NPI

Mirna Ayoub, PA-C

Physician Assistant · Montclair, NJ

NPI number 1891020459 Active

Practice location

1 Bay Ave
Montclair, NJ 07042-4837

Fax (973) 429-6209

Mailing address

PO Box 419430
Boston, MA 02241-9430

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP0026900 (NJ)

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 1891020459

Mirna Ayoub, PA-C's National Provider Identifier is 1891020459, issued on Oct 14, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Montclair, NJ. The record was last updated on Apr 21, 2017.