Individual
CHANA GURVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2290 W COUNTY LINE RD, JACKSON, NJ 08527-2267
(732) 645-9988
Mailing address
522 STALLION CIR W, TOMS RIVER, NJ 08755-1590
(404) 401-7663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/15/2019
Last updated
09/07/2023
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