JOSEPH N DERAVILLE

ISELIN, NJ
NPI1144536152
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NJ  25MP00142700)
Enumeration Date2010-08-27
Last Update Date2010-08-27
Business Address
Mr. JOSEPH N DERAVILLE PA-C
557 NEW DOVER RD
ISELIN, NJ 08830-1127
Phone number: 732-388-4128
Mailing Address
Mr. JOSEPH N DERAVILLE PA-C
557 NEW DOVER RD
ISELIN, NJ 08830-1127
Phone number: 732-388-4128
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