Individual
MS. SUE ELLEN MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
776 SHREWSBURY AVE STE 201, TINTON FALLS, NJ 07724-4507
(732) 530-4949
(732) 212-1171
Mailing address
776 SHREWSBURY AVE STE 201, TINTON FALLS, NJ 07724-4507
(732) 530-4949
(732) 212-1171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00052200
NJ
Other
Enumeration date
06/21/2007
Last updated
10/23/2012
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