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)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