Individual
JAISON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
364 EGE AVE, JERSEY CITY, NJ 07304-1015
(201) 854-6700
Mailing address
364 EGE AVENUE, JERSEY CITY, NJ 07304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA010632
NJ
Other
Enumeration date
11/03/2006
Last updated
06/17/2008
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