Individual
CARLY SARCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
535 SYCAMORE AVE, SHREWSBURY, NJ 07702-4224
(732) 704-4213
Mailing address
535 SYCAMORE AVE, SHREWSBURY, NJ 07702-4224
(732) 676-1645
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP0067900
NJ
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00679000
NJ STATE LICENSE
NJ
Enumeration date
11/02/2021
Last updated
01/26/2022
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