MRS. ALISA GOULBOURNE-SCOTT, PA-C

Physician Assistant

Active Individual
NPI: 1942428255

Practice Address

19 HENRIETTA CT
Ridgewood, NJ 07450

Phone: (201) 670-7498

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 0041901 (NY)

Frequently Asked Questions

NPI 1942428255 is the National Provider Identifier for MRS. ALISA GOULBOURNE-SCOTT, PA-C, a Physician Assistant provider located in Ridgewood, NJ. This NPI was enumerated on April 23, 2007.
MRS. ALISA GOULBOURNE-SCOTT, PA-C practices at 19 HENRIETTA CT, Ridgewood, NJ 07450.

Quick Facts

NPI
1942428255
Type
Individual
Enumerated
Apr 23, 2007
Last Updated
Sep 14, 2007

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