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

MRS. ALISA STEPHANIE GOULBOURNE-SCOTT, PA-C

Active Sole Proprietor

MRS. ALISA STEPHANIE GOULBOURNE-SCOTT, PA-C is a Physician Assistant healthcare provider located in RIDGEWOOD, New Jersey. NPI 1942428255 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · RIDGEWOOD, NJ

Registration Details

NPI Number
1942428255
Provider Type
Individual
Gender
Female
NPI Issued
Apr 23, 2007 (19.291257859402 yrs)
Last Updated
Sep 14, 2007
License
0041901 (NY)
Sole Proprietor
Yes

Practice Information

Address
19 HENRIETTA CT
RIDGEWOOD, NJ, 074502938
Browse NJ providers · Browse ZIP 07450
Phone
2016707498
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in RIDGEWOOD, NJ

Name Credential NPI
MRS. ELENA M ZISLIN PA 1669466298
ROXANNE PISA PA 1194865071
SHARON SOROKA UKLEJA P A 1154531960
JENNIFER E ESKENASI PA 1285810549
MARTINE P CAUSSIMON PA 1699924761
LISA MARIE VEENEMA P.A. 1518250638
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.