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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. REID EDWARD GRONOSTAJSKI, PHYSICIAN ASSISTANT

Active

MR. REID EDWARD GRONOSTAJSKI, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in MANAHAWKIN, New Jersey. NPI 1477781557 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MANAHAWKIN, NJ

Registration Details

NPI Number
1477781557
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2009 (17.104589950264 yrs)
Last Updated
Aug 4, 2011
Licenses
MA054369 (PA)
25MP00218400 (NJ)

Practice Information

Address
1140 ROUTE 72 W
MANAHAWKIN, NJ, 080502412
Browse NJ providers · Browse ZIP 08050
Phone
6099788900
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MANAHAWKIN, NJ

Name Credential NPI
KIMBERLY A COLASANTI PA -C 1851357297
TERI L FALCONER PAC 1336322874
MRS. LAUREN ROSE SERNOTTI P.A.-C 1821376377
MRS. MEGAN MARIE SAIA PA-C 1548541063
MS. SAMANTHA BUSSANICH PA-C 1265808018
MRS. DANIELLE BARRIOS PA-C 1114370434
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.