Individual
DR. JACQUES G LOSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 WILLIAMSON STREET, SUITE 104, ELIZABETH, NJ 07207
(908) 994-5480
Mailing address
151 BRENTWOOD DR, SOUTH ORANGE, NJ 07079-1132
(973) 274-1240
(908) 994-8802
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA04496200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710301
—
NJ
Enumeration date
02/07/2007
Last updated
09/14/2010
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