Provider Demographics
NPI:1497641591
Name:SASSO, NICOLE ELIZABETH (MS, PA-C)
Entity type:Individual
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First Name:NICOLE
Middle Name:ELIZABETH
Last Name:SASSO
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Gender:F
Credentials:MS, PA-C
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Mailing Address - Street 1:96 PLYMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2728
Mailing Address - Country:US
Mailing Address - Phone:908-692-1520
Mailing Address - Fax:
Practice Address - Street 1:34 MAPLE ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3894
Practice Address - Country:US
Practice Address - Phone:203-852-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical