Female

Tara I. Corrigan PA-C

Physician Assistant in Freehold, NJ(View on Map)

Full Name

Tara Iaquinto Corrigan PA-C

NPI Number

1407183122

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/17/2009

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

New Jersey
Pennsylvania

License Number

25MP00282200
MA053716

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 416457
901 W MAIN ST

City

Boston
Freehold

State

MA
NJ

Postal Code

02241-6457
07728-2537

Country

US
US

Telephone Number

(844) 362-1735
(732) 792-5003

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/18/2022

Provider Address

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