Audrey Alicia Merenda, PHYSICIAN ASSISTANT
NPI #1134738396 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1134738396
- Entity Type
- Individual
- Name
- Audrey Alicia Merenda, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Jul 23, 2020
- Last Updated
- Aug 8, 2021
Practice Location
- Address
- 1255 BROAD ST STE 201B
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-3061
- Phone
- (201) 833-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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