| Lara T Bakhtiarian, PA-C | |
|
101 Prosper Way Unit 4, Brick, NJ 08723-3539 | |
| (877) 425-7756 | |
| Not Available |
| Full Name | Lara T Bakhtiarian |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 101 Prosper Way Unit 4, Brick, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710893854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP01034100 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lara T Bakhtiarian, PA-C 6 Edison Ave, Tinton Falls, NJ 07724-3141 Ph: (732) 546-4324 | Lara T Bakhtiarian, PA-C 101 Prosper Way Unit 4, Brick, NJ 08723-3539 Ph: (877) 425-7756 |
Yohana Revelo-umana, Physician Assistant Medicare: Medicare Enrolled Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-2200 Fax: 732-922-6026 |
Samantha Bangs, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 478 Brick Blvd, Brick, NJ 08723 Phone: 732-701-4848 |
Michelle Van Lommel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-2200 |
William Garry, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-2200 |
Brenda Cabrera Vicens, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-202-1500 |
Danielle Christina Bellia, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1610 Route 88 Fl 3, Brick, NJ 08724 Phone: 732-295-6543 Fax: 732-295-6204 |
Zyanya Flores, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 446 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-4300 Fax: 732-840-4515 |