Individual
BRENDA CABRERA VICENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 202-1500
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00783500
NJ
363A00000X
Physician Assistant
—
NJ
363AS0400X
Surgical Physician Assistant
25MP00783500
NJ
Other
Enumeration date
04/24/2023
Last updated
11/08/2024
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