Bouffard, Melissa Woods
Bouffard, Melissa Woods is an individual health care provider with primary practice located at 122 Mount Bethel Rd Ste 1 , Warren NJ 07059-5127. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Dermatology. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bouffard, Melissa Woods can be contacted via phone (908) 756-7999.Contact Information
Primary practice address
122 Mount Bethel Rd Ste 1
Warren NJ 07059-5127
Phone: (908) 756-7999
Fax: (908) 756-8017
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25MP00197800 | New Jersey |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 25MP00197800 | New Jersey |
Profile Details
NPI number | 1033379961 |
---|---|
LBN Legal business name | Bouffard, Melissa Woods |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2008 |
Last updated | Mar 14th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033379961 | NPPES |
New Jersey | Other | 22-3824190 | GROUP TAX ID # |
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