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1073865887
NGNAM JULIENNE TASSA
NEW YORK, NY
NPI
1073865887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 015930)
Enumeration Date
2012-10-04
Last Update Date
2017-08-21
Business Address
-- NGNAM JULIENNE TASSA PA-C
280 1ST AVE BERNSTEIN PAVILLION, 6TH FLOOR
NEW YORK, NY 10009-1834
Phone number: 212-420-2000
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Mailing Address
-- NGNAM JULIENNE TASSA PA-C
7250 PARKWAY DR STE 500
HANOVER, MD 21076-1343
Phone number: 443-949-0814
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