Individual
JAKE SALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
237 PASCACK AVE, EMERSON, NJ 07630-1067
(201) 566-8018
Mailing address
237 PASCACK AVE, EMERSON, NJ 07630-1067
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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