Kimberly D Tankasali, PA-C
NPI #1417061870 in Pompton Plains, New Jersey
Provider Information
- NPI Number
- 1417061870
- Entity Type
- Individual
- Name
- Kimberly D Tankasali, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Aug 19, 2006
- Last Updated
- Oct 2, 2012
Practice Location
- Address
- 97 W PARKWAY
- City
- Pompton Plains
- State
- New Jersey
- ZIP Code
- 07444-1647
- Phone
- (973) 831-5446
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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