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Individual

ALYSSA DETOGNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
535 SYCAMORE AVE, SHREWSBURY, NJ 07702-4224
(732) 741-0970
Mailing address
535 SYCAMORE AVE, SHREWSBURY, NJ 07702-4224

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
04/22/2021
Last updated
10/05/2023
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