| NPI | 1053657668 |
|---|---|
| Former Name | CHELSEY A SPADT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00299600) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055855) |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2015-03-05 |