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Contact Information

JACLYN M AUGUSTENSEN, PA
615 HOPE RD
BUILDING 5A
EATONTOWN, NJ07724-1277
 Phone: 732-571-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JACLYN M AUGUSTENSEN · (Female)

NPI # 1699928234
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/28/2008
Last updated 05/09/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00211300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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