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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LYDIE-DANIELLE FREDERIC, PA-C

Active

MRS. LYDIE-DANIELLE FREDERIC, PA-C is a Physician Assistant healthcare provider located in TRENTON, New Jersey. NPI 1104160753 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TRENTON, NJ

Registration Details

NPI Number
1104160753
Provider Type
Individual
Gender
Female
NPI Issued
Nov 20, 2012 (13.713557656941 yrs)
Last Updated
Jan 6, 2025
Licenses
016255 (NY)
25MP00345300 (NJ)
0110010195 (VA)

Practice Information

Address
750 BRUNSWICK AVE
TRENTON, NJ, 086384143
Browse NJ providers · Browse ZIP 08638
Phone
6093946000
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in TRENTON, NJ

Name Credential NPI
EWA N KEIL PA-C 1083692073
MR. BARRY FITZHERBERT SLATER PYHSICIAN ASSISTANT 1699742304
RICHARD T CONTILIANO PA 1699719823
MR. GABRIEL OBI OZONUWE PA, DC, MSACN 1669404687
MS. ANDREA CHRISTINE CONAWAY PA-C 1588702336
LONEVE HUMBERT PA 1194944355
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.