Individual
MRS. JILL LEAH CONSENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
365 BROAD ST STE 1E, RED BANK, NJ 07701-2151
(732) 842-4292
(732) 548-7408
Mailing address
110 STONE HILL RD, COLTS NECK, NJ 07722
(551) 404-0142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00058300
NJ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/02/2007
Last updated
08/15/2026
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