Active NPIIndividual provider

Malky Fetman, PA-C

Physician Assistant in Deptford, New Jersey

NPI Number1639878903
Practice location
1511 Clements Bridge RD, Deptford, NJ 08096-3007
Fax
—
Last updated
February 28, 2023

Malky Fetman is a Physician Assistant based in Deptford, NJ. Malky Fetman practices in Deptford, NJ and has the professional credentials of PA-C. The NPI Number for Malky Fetman is 1639878903 and holds a License No. 25MP00771300 (NJ). The current practice location address for Malky Fetman is 1511 Clements Bridge RD, Deptford, NJ 08096-3007 and can be reached out via phone at 856-845-9400.

Provider Profile Details

NPI Number
1639878903
Provider Name
Malky Fetman
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1511 Clements Bridge RD, Deptford, NJ 08096-3007
Phone Number
856-845-9400
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 27, 2023
Last Update Date
February 28, 2023
Certification Date
February 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1511 Clements Bridge RD
Deptford, NJ 08096-3007
Zip
08096-3007
Phone Number
856-845-9400
Deptford, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
109 Curtis Pl
Toms River, NJ 08753-4214
City
Toms River
State
NJ
Zip
08753-4214
Phone Number
917-982-0061

License Information

License Number
25MP00771300
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Malky Fetman, PA-C?

The NPI number of Malky Fetman, PA-C is 1639878903. It was assigned on February 27, 2023 and is currently active in the NPPES registry.

What is the specialty of Malky Fetman, PA-C?

Malky Fetman, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00771300.

Where does Malky Fetman, PA-C practice?

The practice location is 1511 Clements Bridge RD, Deptford, NJ 08096-3007. The office can be reached at 856-845-9400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639878903 directly on the NPPES registry website.

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