Individual
LAURA A DWECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
478 BRICK BLVD, BRICK, NJ 08723-6077
(732) 701-4848
Mailing address
247 HIGHLAND AVE, LONG BRANCH, NJ 07740-4620
(732) 859-3372
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00578800
NJ
Other
Enumeration date
11/17/2020
Last updated
11/18/2020
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