Jennifer Grugan, PA-C

NPI #1972196012 in Newark, Delaware

Provider Information

NPI Number: 1972196012
Entity Type: Individual
Name: Jennifer Grugan, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 19, 2021
Last Updated: Nov 12, 2021

Practice Location

Address: 4745 OGLETOWN STANTON RD STE 217
City: Newark
State: Delaware
ZIP Code: 19713-2074
Phone: (302) 733-2410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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