Most Relevant Information
Provider Data
| NPI Number: | 1003595901 |
| Provider Name: | JAMES MANUEL FEDERICA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 25MP00797100 |
Most Important Dates
| Enumeration Date: | 07/17/2023 |
| Last Updated: | 01/15/2024 |
Provider Practice Location
170 CHANGEBRIDGE RD BLDG C3
MONTVILLE
NJ
070459112
Practice Location Phone/Fax
| Phone: | 9735755540 |
| Fax: |
Provider Mailing Location
45 MANCHESTER WAY
PINE BROOK
NJ
070589553
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |