Individual
MARY JANE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4292
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00855700
NJ
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
10/22/2024
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