Karissa Bourbeau
NPI #1720600034 in Marmora, New Jersey
Provider Information
- NPI Number
- 1720600034
- Entity Type
- Individual
- Name
- Karissa Bourbeau
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 8, 2020
- Last Updated
- Aug 25, 2020
Practice Location
- Address
- 44 MARGATE AVE
- City
- Marmora
- State
- New Jersey
- ZIP Code
- 08223-1603
- Phone
- (609) 816-4789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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