Maryjo Agosta Valid NPI
Individual provider · Physician Assistant · Union, NJ
- NPI
- 1083067722
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 25MP00403100 (NJ)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2016-07-18
- Last updated
- 2016-07-18
Practice location
1000 Galloping Hill Rd
Union, NJ 07083-7989
(908) 522-6300