Female

Jacinda Pietanza PHYSICIAN ASSISTANT

Physician Assistant in Old Bridge, NJ(View on Map)

Full Name

Jacinda Pietanza PHYSICIAN ASSISTANT

NPI Number

1194971564

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/17/2008

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

New York

License Number

006449-1

Contact
Information

Purpose

Mailing
Location

Address

38 KENNEDY BLVD
38 KENNEDY BLVD

City

Old Bridge
Old Bridge

State

NJ
NJ

Postal Code

08857-3935
08857-3935

Country

US
US

Telephone Number

(732) 251-0154
(732) 251-0154

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

Data last updated by provider on 08/17/2008

Provider Address

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