person
Vanessa Disla, PA
Surgical Physician Assistant in Hackensack, New Jersey
NPI 1801090253

Vanessa Disla is a Surgical Physician Assistant based in Hackensack, NJ and is specialized in Surgical. Vanessa Disla practices in Hackensack, NJ and has the professional credentials of PA. The NPI Number for Vanessa Disla is 1801090253 and holds a License No. PA9105002 (New Jersey).

The current practice location address for Vanessa Disla is 30 Prospect Ave, Hackensack, NJ and can be reached out via phone at 551-996-4778.

Location: 30 Prospect Ave, Hackensack, NJ, 07601-1915
person
Provider Profile Details
NPI Number
1801090253
Provider Name
Vanessa Disla
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
30 Prospect Ave, Hackensack, NJ, 07601-1915
Phone Number
551-996-4778
Fax Number
Provider Enumeration Date
06/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30 Prospect Ave
City
State
Zip
07601-1915
Phone Number
551-996-4778
Fax Number
person
Provider Business Mailing Address Details
Address
30 Prospect Ave
City
State
Zip
07601-1915
Phone Number
551-996-4778
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9105002 (Florida)
Definition
Definition to come...
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