Whalio Doctors

NPI 1053675520

Pessie Kronglas, PA

Practitioner Physician Assistant Lakewood, NJ

Practice location

Address
1771 Madison Ave, Lakewood, NJ 08701-1251
Phone
(732) 364-2144
Fax
(732) 364-3559

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 25MP00277400 (NJ)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 25MP00277400 (NJ)

Registry record

NPI
1053675520
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Jun 2012
Record last updated
28 Jun 2023

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.