NPI 1457672768

Thea Cogan-Drew, PAC

Practitioner Physician Assistant Plainfield, NJ

Practice location

Address: 1314 Park Ave STE 3, Plainfield, NJ 07060-3253
Phone: (732) 209-5638
Mailing address: 18 W Elm St, New Haven, CT 06515-2129

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 25MP00374800 (NJ)

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Registry record

NPI: 1457672768
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2010
Record last updated: 18 Jan 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.