Individual
SANDY MARIE FOUKARAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
425 JACK MARTIN BLVD, OCEAN MEDICAL CENTER, BRICK, NJ 08724-7732
(732) 836-4380
Mailing address
83 BROOKFIELD DR, JACKSON, NJ 08527-3886
(848) 992-1722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00311100
NJ
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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