Individual
KELLY MAGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
48 4TH ST, FANWOOD, NJ 07023-1218
(908) 477-6131
Mailing address
48 4TH ST, FANWOOD, NJ 07023-1218
(908) 477-6131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
027650-01
NY
363A00000X
Physician Assistant
Primary
25MP00658100
NJ
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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