Individual
JENNIFER R. OTLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
(732) 744-5614
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00158000
NJ
Other
Enumeration date
06/27/2006
Last updated
07/16/2007
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