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Organization
TIZIANA PENSABENI JASPER,MD LLC
Active
Organization
TIZIANA PENSABENI JASPER,MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIZIANA PENSABENI JASPER MD (MD)
(973) 778-4440
Entity
Organization
Contact information
Practice address
1135 CLIFTON AVE, SUITE #102, CLIFTON, NJ 07013-3642
(973) 778-4440
(973) 778-4427
Mailing address
1135 CLIFTON AVE, SUITE #102, CLIFTON, NJ 07013-3642
(973) 778-4440
(973) 778-4427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922024173
LLC NPI
NJ
Enumeration date
07/14/2006
Last updated
10/21/2008
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