Individual provider · NPI-1
Cassandra Rebekah Arvelo
Physician Assistant · Marlton, NJ
NPI number1407510902
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1407510902
- Entity type
- Individual (NPI-1)
- Name
- Cassandra Rebekah Arvelo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2021
- Certification date
- Apr 30, 2024
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00847600 | NJ | Yes |
Practice location
406 Lippincott Dr Ste FMarlton, NJ 08053-4168
Phone 856-435-9100
Mailing address
401 Route 73 N Ste 320Marlton, NJ 08053-3426
Phone 856-872-7055
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