person
Tara Prisco, PA
Medical Physician Assistant in Clark, New Jersey
NPI 1508017534

Tara Prisco is a Medical Physician Assistant based in Clark, NJ and is specialized in Medical. Tara Prisco practices in Clark, NJ and has the professional credentials of PA. The NPI Number for Tara Prisco is 1508017534 and holds a License No. 25MP00124200 (New Jersey).

The current practice location address for Tara Prisco is 999 Raritan Rd, Clark, NJ and can be reached out via phone at 732-381-9418 and via fax at 732-381-3733.

Location: 999 Raritan Rd, Clark, NJ, 07066-1757
person
Provider Profile Details
NPI Number
1508017534
Provider Name
Tara Prisco
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
999 Raritan Rd, Clark, NJ, 07066-1757
Phone Number
732-381-9418
Fax Number
732-381-3733
Provider Enumeration Date
10/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
999 Raritan Rd
City
State
Zip
07066-1757
Phone Number
732-381-9418
Fax Number
732-381-3733
person
Provider Business Mailing Address Details
Address
999 Raritan Rd
City
State
Zip
07066-1757
Phone Number
732-381-9418
Fax Number
732-381-3733
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
25MP00124200 (New Jersey)
Definition
Definition to come...
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