Individual
DR. JEREMY ROBERT MAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 PROSPECT AVE STE 702, HACKENSACK, NJ 07601-1974
(201) 441-9890
(201) 441-9893
Mailing address
20 PROSPECT AVE STE 702, HACKENSACK, NJ 07601-1974
(201) 441-9890
(201) 441-9893
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA08756000
NJ
Other
Enumeration date
10/20/2010
Last updated
11/04/2021
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