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Contact Information

KIMBERLY A HAGEN, PA
728 MARNE HWY STE 200A
MOORESTOWN, NJ08057-3128
 Phone: 856-291-8855
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KIMBERLY A HAGEN · (Female)

NPI Number 1811555709
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/05/2019
Last updated 08/16/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 1163559
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
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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