Individual
JENNIFER KALASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-2200
Mailing address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00224600
NJ
363A00000X
Physician Assistant
Primary
25MP00786500
NJ
Other
Enumeration date
04/24/2015
Last updated
07/19/2023
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