Individual
JARED PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 CENTRAL AVE STE 500, NEW PROVIDENCE, NJ 07974-1505
(908) 795-1192
(908) 795-1193
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA10268100
NJ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
25MA10268100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2014
Last updated
12/14/2020
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