Individual
GINA GIRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 BROAD ST, SHREWSBURY, NJ 07702-4215
(732) 758-1800
Mailing address
830 BROAD ST, SHREWSBURY, NJ 07702-4215
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18KT00194900
NJ
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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