Individual
HAILEY LYNN BUTTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40 BEY LEA RD, TOMS RIVER, NJ 08753-2989
(732) 341-0720
Mailing address
204 SENECA BLVD, BARNEGAT, NJ 08005-2801
(609) 709-0548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00886100
NJ
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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