ALISA STEPHANIE GOULBOURNE-SCOTT

RIDGEWOOD, NJ
NPI1942428255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  0041901)
Enumeration Date2007-04-23
Last Update Date2007-09-14
Business Address
Mrs. ALISA STEPHANIE GOULBOURNE-SCOTT pa-c
19 HENRIETTA CT
RIDGEWOOD, NJ 07450-2938
Phone number: 201-670-7498
Mailing Address
Mrs. ALISA STEPHANIE GOULBOURNE-SCOTT pa-c
19 HENRIETTA CT
RIDGEWOOD, NJ 07450-2938
Phone number: 201-670-7498
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