Doctor Name: | GREGORY CHARLES SWITAJ |
NPI Number: | 1134385412 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 25MP00202400 |
Business Practice Address: | 2315 Rt 34 So Suite D Manasquan, NJ - 08736 |
Business Phone Number: | 7329740404 |
Business Fax Number: | 7324494271 |
Mailing Address: | 2315 Rt 34 So, Suite D MANASQUAN |
State: | NJ |
Postal Code: | 08736 |
Phone Number: | 7329740404 |
Fax Number: | 7324494271 |
NPI Enumeration Date: | 08/05/2008 |
NPI Last Update Date: | 07/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 25MP00202400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |