| Doctor Name: | EUGENIA GLUSHANOK |
| NPI Number: | 1003879271 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 25MP00042900 |
| Business Practice Address: | 94 Old Short Hills Road Livingston, NJ - 070395606 |
| Business Phone Number: | 2013225000 |
| Business Fax Number: | |
| Mailing Address: | 66 W Gilbert St, TINTON FALLS |
| State: | NJ |
| Postal Code: | 077014918 |
| Phone Number: | 7212120060 |
| Fax Number: | 7322120061 |
| NPI Enumeration Date: | 04/10/2006 |
| NPI Last Update Date: | 08/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 25MP00042900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |