Individual
SARINA MARIE KEOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19 DAVIS AVE, 4TH FLOOR, NEPTUNE, NJ 07753
(732) 776-3690
(732) 776-3691
Mailing address
19 DAVIS AVE, 4TH FLOOR, NEPTUNE, NJ 07753
(732) 776-3690
(732) 776-3691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00331100
NJ
363AS0400X
Surgical Physician Assistant
25MP00331100
NJ
Other
Enumeration date
03/31/2014
Last updated
03/13/2024
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