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Organization
JERSEY CITY MEDICAL CARE PA
Active
Organization
JERSEY CITY MEDICAL CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNA LEVETSENKO (OWNER)
(914) 376-6100
Entity
Organization
Contact information
Practice address
35 JOURNAL SQ STE 915, JERSEY CITY, NJ 07306-4007
(914) 376-6100
(914) 470-5056
Mailing address
35 JOURNAL SQ STE 915, JERSEY CITY, NJ 07306-4007
(914) 376-6100
(914) 470-5056
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
NULL
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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