Individual
EVAN JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10 PARSONAGE RD STE 208, EDISON, NJ 08837-2429
(732) 906-9600
(732) 377-0393
Mailing address
90 MATAWAN RD STE 302, MATAWAN, NJ 07747-2653
(732) 441-7177
(732) 441-7165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00378000
NJ
Other
Enumeration date
09/28/2015
Last updated
04/23/2026
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