Individual
MS. JESSICA DOBROWOLSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
618 KINGSTON AVE, KENILWORTH, NJ 07033-1642
(908) 967-3075
Mailing address
618 KINGSTON AVE, KENILWORTH, NJ 07033-1642
(908) 967-3075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00636700
NJ
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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