Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLIN M BOURDEAU, PA
ActiveKAITLIN M BOURDEAU, PA is a Physician Assistant healthcare provider located in BLOOMFIELD, New Jersey. NPI 1780236489 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BLOOMFIELD, NJ
Registration Details
- NPI Number
- 1780236489
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2019 (7.0753443733973 yrs)
- Last Updated
- Jul 18, 2019
- License
-
25MP00528000
Practice Information
- Address
-
1255 BROAD ST STE 201ABLOOMFIELD, NJ, 070033061Browse NJ providers · Browse ZIP 07003
- Phone
- 9738422100
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BLOOMFIELD, NJ
| Name | Credential | NPI |
|---|---|---|
| MORGANNE MARIE SCANCERELLA | PA-C | 1063912103 |
| FRANCESCA A LUBRANO | PA-C | 1003430612 |
| AUDREY ALICIA MERENDA | PHYSICIAN ASSISTANT | 1134738396 |
| SANDRA MARCELA BOYLE | PA | 1518604636 |
| ARIELLE ELYSSA CURTIS | — | 1740988864 |
| MR. ELTON VOJKA | PA | 1174215123 |
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.