Individual
KYLE GLEN YURCISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 EAGLE AVE, OCEAN, NJ 07712-7631
(732) 660-6200
Mailing address
8 FARM RD, EWING, NJ 08638-1412
(908) 295-7375
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NJ
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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