Individual
DANIELLE KRISTAN BULAUITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, PA-C
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-2918
Mailing address
655 SHREWSBURY AVE, SHREWSBURY, NJ 07702-4179
(732) 345-1180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00257200
NJ
Other
Enumeration date
08/02/2011
Last updated
12/20/2019
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