Individual provider · NPI-1

Priscila Ayala, PA-C

Physician Assistant, Medical · Camden, NJ

NPI number1053562074
StatusActive
Last updated in NPPESDec 4, 2023

Details

NPI
1053562074
Entity type
Individual (NPI-1)
Name
Priscila Ayala
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 8, 2008
Certification date
Dec 4, 2023
Last updated
Dec 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical25MP00194400NJYes
363A00000X Physician Assistant25mp0019440NJ
363AM0700X Physician Assistant, MedicalMA320017LPA

Practice location

1 Cooper Plz
Camden, NJ 08103-1461

Phone 856-342-3150 · Fax 856-968-8418

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088

Phone 848-288-6935

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