Provider Demographics
NPI:1689217804
Name:TOMCZYK, ALEKSANDRA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ALEKSANDRA
Middle Name:
Last Name:TOMCZYK
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 1:4 PARAGON WAY STE 300
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-7805
Mailing Address - Country:US
Mailing Address - Phone:732-653-1797
Mailing Address - Fax:
Practice Address - Street 1:4 PARAGON WAY STE 300
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-7805
Practice Address - Country:US
Practice Address - Phone:732-653-1797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-21
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant