NPI 1114473956

Kerry Vaughan, PAC

Practitioner Physician Assistant Florham Park, NJ

Practice location

Address: 131 Columbia Tpke, Florham Park, NJ 07932-2181
Phone: (973) 377-8776

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 25MP00400800 (NJ)

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Registry record

NPI: 1114473956
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2016
Record last updated: 1 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.