Adena Tara Homnick in Newark - Physician Assistant

Adena Tara Homnick - NPI 1467661140

Adena Tara Homnick is a Physician Assistant in Newark, New Jersey. Adena Tara Homnick practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Adena Tara Homnick is 1467661140. The last update date is 2007-07-08.

Adena Tara Homnick's current location address is 150 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739724900 and fax number 9739727441. The mailing address for Adena Tara Homnick is 150 Bergen St, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Adena Tara Homnick
Address 150 Bergen St, Newark, New Jersey
Phone Number 9739724900
Fax Number 9739727441
Sole Proprietor Y
Credentials RPA-C

NPI Number Detail

NPI Number 1467661140
Provider Enumeration Date 2007-05-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 150 Bergen St
City Newark
State New Jersey (NJ)
Post Code 71032496
Phone Number 9739724900
Fax Number 9739727441

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 25MP00034600
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Adena Tara Homnick

What is the unique 10-digit identifier code assigned to Adena Tara Homnick by the Centers for Medicare & Medicaid Services?

The Adena Tara Homnick has been issued the NPI (National Provider Identifier) 1467661140 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Adena Tara Homnick is located?

The Adena Tara Homnick is situated at the following address: 150 Bergen St, Newark, NJ, 71032496.

What is Adena Tara Homnick's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Adena Tara Homnick is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Adena Tara Homnick receive the assignment of its 1467661140 from the Centers for Medicare & Medicaid Services?

The Adena Tara Homnick was issued its 1467661140 by the Centers for Medicare & Medicaid Services on 2007-05-21.

As of what date were the details related to Adena Tara Homnick most recently updated or revised?

The information pertaining to Adena Tara Homnick, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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