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1467661140
ADENA TARA HOMNICK
NEWARK, NJ
NPI
1467661140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00034600)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Mrs. ADENA TARA HOMNICK RPA-C
150 BERGEN ST
NEWARK, NJ 07103-2496
Phone number: 973-972-4900
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Mailing Address
Mrs. ADENA TARA HOMNICK RPA-C
5 N CREST PL
LAKEWOOD, NJ 08701-2967
Phone number: 732-886-2997
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