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NPI Code Detail

MEDICARE: CRISTINA CANESTRI PA-C

MEDICARE:   CRISTINA  CANESTRI  PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1063141158
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTINA CANESTRI PA-C
Provider Business Mailing Address
First Line : 88 MAGELLAN WAY
Second Line :
City : FRANKLIN PARK
State : NJ
Zip : 08823-1712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 88 MAGELLAN WAY
Second Line :
City : FRANKLIN PARK
State : NJ
Zip : 08823-1712
Country : US
Telephone Number : 732-439-4714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2022
Last Update Date : 06/06/2022

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Directions to “ CRISTINA CANESTRI PA-C” Practice Location

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