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Johanna Kubichek
Medical Physician Assistant in West Orange, New Jersey
NPI 1336697895

Johanna Kubichek is a Medical Physician Assistant based in Linden, NJ and is specialized in Medical. Johanna Kubichek practices in West Orange, NJ. The NPI Number for Johanna Kubichek is 1336697895 and holds a License No. 25MP00407800 (New Jersey).

The current practice location address for Johanna Kubichek is 456 Prospect Ave, West Orange, NJ and can be reached out via phone at 973-731-6767.

Location: 456 Prospect Ave, West Orange, NJ, 07036-5638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336697895
Provider Name
Johanna Kubichek
Credential
Provider Entity Type
Individual
Gender
Female
Address
456 Prospect Ave, West Orange, NJ, 07036-5638
Phone Number
973-731-6767
Fax Number
Provider Enumeration Date
09/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
456 Prospect Ave
City
West Orange
State
New Jersey
Zip
07052-4112
Phone Number
973-731-6767
Fax Number
person
Provider Business Mailing Address Details
Address
456 Prospect Ave
City
West Orange
State
New Jersey
Zip
07052-4112
Phone Number
973-731-6767
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
25MP00407800 (New Jersey)
Definition
Definition to come...
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