Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Constance A Walwyn

Individual provider Physician Assistant · NPI 1366283855

Constance A Walwyn is a Physician Assistant in Bloomfield, New Jersey. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2024
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Practice location Address checks out

267 Broughton Ave
Bloomfield, NJ 07003-4021
Phone: (862) 371-3061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2103P.A. (PR)

Record details

NPI number1366283855
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 6, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024
Mailing address267 Broughton Ave, Bloomfield, NJ 07003-4021

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