MRS. Adija Memboup, PA

NPI #1942365986 in Danbury, Connecticut

Provider Information

NPI Number: 1942365986
Entity Type: Individual
Name: MRS. Adija Memboup, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 27, 2006
Last Updated: May 7, 2022

Practice Location

Address: 24 HOSPITAL AVE
City: Danbury
State: Connecticut
ZIP Code: 06810-6077
Phone: (917) 873-5185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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