Natacha Derival
Natacha Derival is a Physician Assistant in Wayne, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1700 NJ-23 # 170Wayne, NJ 07470
Phone: (732) 338-7202
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1265061402 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2020 |
| Last updated in NPPES | April 8, 2020 |
| Certification date | April 8, 2020 |
| Mailing address | 1700 Nj-23 # 170, Wayne, NJ 07470 |
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