NPI 1396101374 · live from the CMS NPI Registry
Junior Appolon
Physician Assistant, Medical in Egg Harbor Township, NJ. National Provider Identifier 1396101374, active.
NPI record
| NPI | 1396101374 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 214 E Kennedy Dr, Egg Harbor Township, NJ 08234 |
| Practice phone | 609-384-2994 |
| Enumerated | January 7, 2016 |
| Last updated | November 2, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist/Technologist, Other, Surgical Assistant | 246ZC0007X | 15-760 (NJ) |
| Physician Assistant, Medical primary | 363AM0700X | 041556 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.