Most Relevant Information
Provider Data
| NPI Number: | 1003557422 |
| Provider Name: | KATHRYN BAGNARDI PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 25MP00746100 |
Most Important Dates
| Enumeration Date: | 04/07/2022 |
| Last Updated: | 12/12/2022 |
Provider Practice Location
10 PLUM ST FL 5
NEW BRUNSWICK
NJ
089012066
Practice Location Phone/Fax
| Phone: | 7322355530 |
| Fax: |
Provider Mailing Location
10 PLUM ST FL 5
NEW BRUNSWICK
NJ
089012066
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |