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

NILLA DEFAZIO, PA-C

Active

NILLA DEFAZIO, PA-C is a Physician Assistant healthcare provider located in MONTCLAIR, New Jersey. NPI 1336100486 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MONTCLAIR, NJ

Registration Details

NPI Number
1336100486
Provider Type
Individual
Gender
Female
NPI Issued
Mar 29, 2006 (20.233185530477 yrs)
Last Updated
Jul 8, 2007
License
25MP00034900 (NJ)

Practice Information

Address
1 BAY AVE
MONTCLAIR, NJ, 070424837
Browse NJ providers · Browse ZIP 07042
Phone
9734296695
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MONTCLAIR, NJ

Name Credential NPI
MR. MICHAEL STEIN P.A. 1104892603
MAYA GABOVICH PA-C 1851352900
MS. JENNIFER GOLDBERG PA 1235149774
MARY BETH HANS PA 1821167578
SIHANA SELA PA 1184826000
YELENA BERLIN 1033383823
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.