Healthcare Provider Details

I. General information

NPI: 1245410414
Provider Name (Legal Business Name): MEREDITH BARROWS OGDEN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 11/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MADISON AVE
MORRISTOWN NJ
07960-6136
US

IV. Provider business mailing address

4 HARDY DR
FLEMINGTON NJ
08822-3125
US

V. Phone/Fax

Practice location:
  • Phone: 973-971-5488
  • Fax:
Mailing address:
  • Phone: 908-788-7107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number25MP00190900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA003462L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: