Individual
MIRIAM BRACHA GEWIRTZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
97 NORTHAMPTON BLVD, TOMS RIVER, NJ 08527
(917) 599-6445
Mailing address
97 NORTHAMPTON BLVD, TOMS RIVER, NJ 08757
(917) 599-6445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00787300
NJ
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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