Individual
GREGORY CHARLES SWITAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2315 RT 34 SO, SUITE D, MANASQUAN, NJ 08736
(732) 974-0404
(732) 449-4271
Mailing address
2315 RT 34 SO, SUITE D, MANASQUAN, NJ 08736
(732) 974-0404
(732) 449-4271
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00202400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00768640
RR MEDICARE
—
Enumeration date
08/05/2008
Last updated
07/27/2012
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