NPI 1003302183

Breynn Entwistle, PAC

Practitioner Epilepsy Physician Marlboro, NJ

Practice location

Address: 479 County Road 520 STE B101, Marlboro, NJ 07746-1089
Phone: (732) 856-5999
Mailing address: 1000 14th Ave, Belmar, NJ 07719-2809

Registered specialties (2)

Epilepsy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084E0001X Licence 25MP00483700 (NJ)

Other Psychiatry & Neurology providers in New Jersey →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10858311-1206 (UT)

Other Physician Assistant providers in New Jersey →

Registry record

NPI: 1003302183
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jul 2018
Record last updated: 21 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.