| NPI | 1609475326 |
|---|---|
| Former Name | REBECCA A WHEALEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00632900) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00632900) |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 029680) | |
| 363A00000X Physician Assistant (Licence: NY 029680) | |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2025-09-16 |