Individual
DR. CASANDRA HICKS AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
41 HIGHWAY 34 S, COLTS NECK, NJ 07722-1753
(732) 308-2255
(732) 308-0081
Mailing address
41 HIGHWAY 34 S, COLTS NECK, NJ 07722-1753
(732) 308-2255
(732) 308-0081
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA06928800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8097607
—
NJ
Enumeration date
02/17/2006
Last updated
12/26/2012
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