DIMYANA ATA

EGG HARBOR TOWNSHIP, NJ
NPI1992369458
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00534100)
Enumeration Date2019-04-30
Last Update Date2019-09-22
Business Address
DIMYANA ATA PA-C
2500 ENGLISH CREEK AVE
EGG HARBOR TOWNSHIP, NJ 08234-5549
Phone number: 609-442-6803
Mailing Address
DIMYANA ATA PA-C
200 ASHLAND AVE
EGG HARBOR TOWNSHIP, NJ 08234-5567
Phone number: 609-442-6803