MRS. Jennifer Leigh Destefano, PA-C

NPI #1528216389 in Pompton Plains, New Jersey

Provider Information

NPI Number: 1528216389
Entity Type: Individual
Name: MRS. Jennifer Leigh Destefano, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 5, 2008
Last Updated: Sep 5, 2008

Practice Location

Address: 230 WEST PARKWAY
Address 2: UNIT #10
City: Pompton Plains
State: New Jersey
ZIP Code: 07444
Phone: (973) 835-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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