Defazio, Nilla

Defazio, Nilla is an individual health care provider with primary practice located at 1 Bay Ave , Montclair NJ 07042-4837. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Defazio, Nilla can be contacted via phone (973) 429-6695.

Contact Information

Primary practice address
1 Bay Ave Montclair NJ 07042-4837
Phone: (973) 429-6695
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00034900 New Jersey

Profile Details

NPI number 1336100486
LBN Legal business name Defazio, Nilla
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 8th, 2007 - about 18 years 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.

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