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NPI Code Detail

MEDICARE: RONIT HIMMELFARB PA

MEDICARE:   RONIT  HIMMELFARB  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant25MP00379100NJ

General Provider Information

NPI Number : 1538531389
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONIT HIMMELFARB PA
Provider Business Mailing Address
First Line : 31 EAGLES NOTCH DR
Second Line :
City : ENGLEWOOD
State : NJ
Zip : 07631-5060
Country : US
Telephone Number : 301-785-0814
Fax Number :
Provider Business Practice Location Address
First Line : 400 MOUNTAIN AVE
Second Line :
City : SPRINGFIELD
State : NJ
Zip : 07081-2515
Country : US
Telephone Number : 973-912-9817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2015
Last Update Date : 10/20/2015

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Directions to “ RONIT HIMMELFARB PA” Practice Location

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