Female

Breynn Entwistle PA-C

Epilepsy Physician in Marlboro, NJ(View on Map)

Full Name

Breynn Entwistle PA-C

NPI Number

1003302183

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/02/2018

Specialties

(Taxonomies)

Code

2084E0001X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

New Jersey
Utah

License Number

25MP00483700
10858311-1206

Contact
Information

Purpose

Mailing
Location

Address

1000 14TH AVE
479 COUNTY ROAD 520 STE B101

City

Belmar
Marlboro

State

NJ
NJ

Postal Code

07719-2809
07746-1089

Country

US
US

Telephone Number

(732) 615-8951
(732) 856-5999

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/21/2024

Provider Address