Individual
SHANNON GAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
115 E BAY AVE, MANAHAWKIN, NJ 08050-3109
(609) 971-3300
(609) 597-4656
Mailing address
35 BEAVERSON BLVD STE 8C, BRICK, NJ 08723-7861
(732) 262-4262
(732) 262-4317
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00475900
NJ
Other
Enumeration date
07/16/2018
Last updated
05/12/2025
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