Individual
MRS. MEAGHAN ROSE GAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
234 INDUSTRIAL WAY W STE A103, SUITE A, EATONTOWN, NJ 07724-4257
(848) 208-2055
Mailing address
234 INDUSTRIAL WAY W STE A103, SUITE A, EATONTOWN, NJ 07724-4257
(848) 208-2055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016624
NY
363A00000X
Physician Assistant
Primary
25MP00308500
NJ
Other
Enumeration date
09/06/2013
Last updated
10/23/2016
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