Individual
JILLIAN A GARBUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 MEDICAL CENTER WAY, SOMERS POINT, NJ 08244-2300
(609) 653-3500
Mailing address
100 MEDICAL CENTER WAY, SOMERS POINT, NJ 08244-2300
(609) 653-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00311000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00311000
LICENSE
NJ
Enumeration date
07/17/2013
Last updated
02/10/2015
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