Individual
ANTOINETTE CHRISTINE WASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
135 ROUTE 35, EATONTOWN, NJ 07724
(732) 696-6399
Mailing address
331 NEWMAN SPRINGS RD., BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA12325100
NJ
207Q00000X
Family Medicine Physician
MD069371L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213827
MEDICARE GROUP PTAN
PA
Enumeration date
02/17/2007
Last updated
01/06/2026
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