Provider Demographics
NPI:1265171276
Name:REMBALSKY, JULIA ROCHELLE (PA-C)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:ROCHELLE
Last Name:REMBALSKY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-237-8045
Mailing Address - Fax:856-237-8047
Practice Address - Street 1:1945 ROUTE 70 E STE D
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2160
Practice Address - Country:US
Practice Address - Phone:856-237-8045
Practice Address - Fax:856-237-8047
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-31
Last Update Date:2024-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00752500363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0888125Medicaid