Nilla Defazio, PA-C
NPI #1336100486 in Montclair, New Jersey
Provider Information
- NPI Number
- 1336100486
- Entity Type
- Individual
- Name
- Nilla Defazio, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 29, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1 BAY AVE
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-4837
- Phone
- (973) 429-6695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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