Provider Demographics
NPI:1720294846
Name:WRIGHT, ALLYSON JANE (PA C)
Entity Type:Individual
Prefix:MRS
First Name:ALLYSON
Middle Name:JANE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:
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Mailing Address - Street 1:24 MOUNT PLEASANT RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-3844
Mailing Address - Country:US
Mailing Address - Phone:973-600-4022
Mailing Address - Fax:
Practice Address - Street 1:360 ESSEX ST STE 303
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-8566
Practice Address - Country:US
Practice Address - Phone:551-996-2533
Practice Address - Fax:551-996-0889
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2018-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00109600363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant