Provider Demographics
NPI:1245479476
Name:PILLEN, JOHN STUART (RPA-C)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:STUART
Last Name:PILLEN
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Gender:M
Credentials:RPA-C
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Mailing Address - Street 1:159 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SARANAC LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12983-2385
Mailing Address - Country:US
Mailing Address - Phone:518-891-3801
Mailing Address - Fax:518-897-3369
Practice Address - Street 1:159 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983-2385
Practice Address - Country:US
Practice Address - Phone:518-524-8237
Practice Address - Fax:518-897-3369
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2025-09-24
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Provider Licenses
StateLicense IDTaxonomies
TX1085311363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant