Individual
JULIE GAUTHIER COYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(315) 406-1214
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(315) 406-1214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00399400
NJ
Other
Enumeration date
09/22/2010
Last updated
01/18/2017
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