NPI 1174039820

Atara Hakakian, PA

Practitioner Physician Assistant Lakewood, NJ

Practice location

Address: 151 Williamsburg Ln, Lakewood, NJ 08701-1476
Phone: (347) 733-2493
Fax: (310) 428-6510

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 25MP00455600 (NJ)

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Registry record

NPI: 1174039820
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Dec 2017
Record last updated: 18 Dec 2017

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.