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Miyasari Ranoewidjojo, PAC
Physician Assistant in Hackensack, New Jersey
NPI 1033324645

Miyasari Ranoewidjojo is a Physician Assistant based in Montville, NJ. Miyasari Ranoewidjojo practices in Hackensack, NJ and has the professional credentials of PAC. The NPI Number for Miyasari Ranoewidjojo is 1033324645 and holds a License No. 25MP00118300 (New Jersey).

The current practice location address for Miyasari Ranoewidjojo is 30 Prospect Ave, Hackensack, NJ and can be reached out via phone at 201-996-4614.

Location: 30 Prospect Ave, Hackensack, NJ, 07045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033324645
Provider Name
Miyasari Ranoewidjojo
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
30 Prospect Ave, Hackensack, NJ, 07045
Phone Number
201-996-4614
Fax Number
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1914
Phone Number
201-996-4614
Fax Number
person
Provider Business Mailing Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1914
Phone Number
201-996-4614
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
25MP00118300 (New Jersey)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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