| NPI | 1225393564 |
|---|---|
| Former Name | ANDREA C DURYEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: NJ 25MP00285200) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: PA MA05528) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2022-10-06 |