Breanna Dominique Mesa, PA

NPI #1720648728 in Paramus, New Jersey

Provider Information

NPI Number: 1720648728
Entity Type: Individual
Name: Breanna Dominique Mesa, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 20, 2019
Last Updated: Nov 13, 2024

Practice Location

Address: 650 FROM RD
Address 2: STE 420
City: Paramus
State: New Jersey
ZIP Code: 07652
Phone: (201) 639-6620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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