MR. Reid Edward Gronostajski, PHYSICIAN ASSISTANT

NPI #1477781557 in Manahawkin, New Jersey

Provider Information

NPI Number: 1477781557
Entity Type: Individual
Name: MR. Reid Edward Gronostajski, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Jun 26, 2009
Last Updated: Aug 4, 2011

Practice Location

Address: 1140 ROUTE 72 W
City: Manahawkin
State: New Jersey
ZIP Code: 08050-2412
Phone: (609) 978-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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