| Doctor Name: | MRS. COLLEEN A. GEWIRTZ |
| NPI Number: | 1033429931 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.P.N.C |
| License Number: | 26NN10259600 |
| Business Practice Address: | 211 Shrewsbury Ave Red Bank, NJ - 077011250 |
| Business Phone Number: | 7322120777 |
| Business Fax Number: | |
| Mailing Address: | 211 Shrewsbury Ave, RED BANK |
| State: | NJ |
| Postal Code: | 077011250 |
| Phone Number: | 7322120777 |
| Fax Number: | |
| NPI Enumeration Date: | 10/14/2010 |
| NPI Last Update Date: | 10/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | 26NN10259600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |