Individual
GENT PRELVUKAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5000
Mailing address
182 JULES DR, STATEN ISLAND, NY 10314-1433
(718) 310-7686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00697200
NJ
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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