SIJO DEVASIA

SPRINGFIELD, NJ
NPI1366046492
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00584000)
Enumeration Date2020-11-30
Last Update Date2022-12-02
Business Address
SIJO DEVASIA
385 MORRIS AVE FL 2
SPRINGFIELD, NJ 07081-1151
Phone number: 973-379-2111
Mailing Address
SIJO DEVASIA
PO BOX 416457
BOSTON, MA 02241-6457
Phone number: 844-362-1735