Individual
ASHLEY JACKLYN SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6395
(732) 222-5200
Mailing address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA12813600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
01/22/2026
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