Individual
KYLE BAZONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
57 US HIGHWAY 1, NEW BRUNSWICK, NJ 08901-8554
(848) 445-4636
Mailing address
57 US HIGHWAY 1, NEW BRUNSWICK, NJ 08901-8554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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