NPI 1366283855

Constance a Walwyn

Practitioner Physician Assistant Bloomfield, NJ

Practice location

Address: 267 Broughton Ave, Bloomfield, NJ 07003-4021
Phone: (862) 371-3061

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2103P.A. (PR)

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Registry record

NPI: 1366283855
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2024
Record last updated: 6 Jun 2024

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.