Individual
MR. DYLAN MITCHELL HAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1820 STATE ROUTE 33 STE 4B, NEPTUNE, NJ 07753-4860
(732) 776-8500
Mailing address
40 CROSS RD APT 39, MATAWAN, NJ 07747-1105
(610) 764-1804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00576900
NJ
363A00000X
Physician Assistant
PA-GTL-20-00749
NJ
Other
Enumeration date
06/12/2020
Last updated
10/22/2020
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