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Contact Information

GWEN A URS, DMSC, MS, PA-C.
301 PROFESSIONAL VIEW DR BLDG 300
FREEHOLD TOWNSHIP, NJ07728-7904
 Phone: 732-720-2555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GWEN A URS · (Female)

NPI # 1942358288
Status Active
Credentials DMSC, MS, PA-C.
Entity Individual
Enumeration date 01/05/2007
Last updated 11/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00110300
Hospital affiliation(s)
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
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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