Individual
JEFFREY SEVERINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
716 TALMADGE AVE, OAKHURST, NJ 07755-2931
(732) 768-5330
Mailing address
716 TALMADGE AVE, OAKHURST, NJ 07755-2931
(732) 768-5330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00645500
NJ
Other
Enumeration date
08/12/2021
Last updated
11/05/2021
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