person
Bracha Niknam, PA-C
Medical Physician Assistant in Lakewood, New Jersey
NPI 1841987252

Bracha Niknam is a Medical Physician Assistant based in Lakewood, NJ and is specialized in Medical. Bracha Niknam practices in Lakewood, NJ and has the professional credentials of PA-C. The NPI Number for Bracha Niknam is 1841987252 and holds a License No. 25MP00774200 (New Jersey).

The current practice location address for Bracha Niknam is 16 Esti Cir, Lakewood, NJ and can be reached out via phone at 732-781-6805.

Location: 16 Esti Cir, Lakewood, NJ, 08701-4053
person
Provider Profile Details
NPI Number
1841987252
Provider Name
Bracha Niknam
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
16 Esti Cir, Lakewood, NJ, 08701-4053
Phone Number
732-781-6805
Fax Number
Provider Enumeration Date
04/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16 Esti Cir
City
State
Zip
08701-4053
Phone Number
732-781-6805
Fax Number
person
Provider Business Mailing Address Details
Address
16 Esti Cir
City
State
Zip
08701-4053
Phone Number
732-781-6805
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
25MP00774200 (New Jersey)
Definition
Definition to come...
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