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Individual

DR. JONATHAN MAMBER CZERESNIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
140 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-4071
Mailing address
185 S ORANGE AVE # MSB-I689, NEWARK, NJ 07103-2757
(973) 972-7837
(657) 699-1570

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
2247656
NY
207RI0200X
Infectious Disease Physician
Primary
25MA11353800
NJ

Other

Enumeration date
06/21/2017
Last updated
03/03/2023
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