Individual
STEVEN GUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-4218
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00727800
NJ
363A00000X
Physician Assistant
9832
GA
363A00000X
Physician Assistant
PA54356
CA
363AS0400X
Surgical Physician Assistant
PA54356
CA
Other
Enumeration date
03/15/2017
Last updated
03/13/2024
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