Individual provider · NPI-1
Jessica C Bethell Barsocchi, P.A.
Physician Assistant · Camden, NJ
NPI number1073580452
StatusActive
Last updated in NPPESApr 17, 2019
Details
- NPI
- 1073580452
- Entity type
- Individual (NPI-1)
- Name
- Jessica C Bethell Barsocchi
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2006
- Last updated
- Apr 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00069800 | NJ | Yes |
| 363A00000X | Physician Assistant | MA051299 | PA |
Practice location
3 Cooper Plz Rm 311Camden, NJ 08103
Phone 856-342-2683
Mailing address
1 Federal St # 200Camden, NJ 08103-1088
Phone 856-356-4924
Other practice locations
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