Provider Demographics
NPI:1275919847
Name:ARDELJAN SAVIC, SYLVIA (PA-C)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:ARDELJAN SAVIC
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:443-621-7358
Mailing Address - Fax:
Practice Address - Street 1:3025 PARAMUS PARK
Practice Address - Street 2:SUITE 200
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3550
Practice Address - Country:US
Practice Address - Phone:201-267-6898
Practice Address - Fax:201-267-6897
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-06
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00364400363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical