Jenna Azzolini
Physician Assistant in Wood Ridge, NJ. Individual provider (NPI-1).
NPI number1144969080
StatusActive
Last updated in NPPESMay 31, 2022
Details
- NPI
- 1144969080
- Entity type
- Individual (NPI-1)
- Name
- Jenna Azzolini
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 31, 2022
- Certification date
- May 31, 2022
- Last updated
- May 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
118 10th StWood Ridge, NJ 07075-2124
Phone 201-657-3044
Mailing address
118 10th StWood Ridge, NJ 07075-2124
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