Bouffard, Melissa Woods

Bouffard, Melissa Woods is an individual health care provider with primary practice located at 122 Mount Bethel Rd Ste 1 , Warren NJ 07059-5127. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Dermatology. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bouffard, Melissa Woods can be contacted via phone (908) 756-7999.

Contact Information

Primary practice address
122 Mount Bethel Rd Ste 1 Warren NJ 07059-5127
Phone: (908) 756-7999
Fax: (908) 756-8017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00197800 New Jersey
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 25MP00197800 New Jersey

Profile Details

NPI number 1033379961
LBN Legal business name Bouffard, Melissa Woods
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Mar 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033379961 NPPES
New Jersey Other 22-3824190 GROUP TAX ID #

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