Wild, Dafna Rachel

Wild, Dafna Rachel is an sole proprietor health care provider with primary practice located at 100 Pavonia Ave Suite 409, Jersey City NJ 07310-2778. 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. Wild, Dafna Rachel can be contacted via phone (201) 626-4040.

Contact Information

Primary practice address
100 Pavonia Ave Suite 409 Jersey City NJ 07310-2778
Phone: (201) 626-4040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00209700 New Jersey

Profile Details

NPI number 1174750319
LBN Legal business name Wild, Dafna Rachel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2009
Last updated Jun 15th, 2009 - about 16 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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