Individual
DR. BETTY ANN CERVENAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
203 PALISADE AVE, JERSEY CITY, NJ 07306-1112
(201) 653-5722
(201) 792-9718
Mailing address
203 PALISADE AVE, JERSEY CITY, NJ 07306-1112
(201) 653-5722
(201) 792-9718
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA40986
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180018116
RAILROAD MEDICARE
NJ
05
—
4797809
—
NJ
Enumeration date
09/21/2006
Last updated
02/03/2011
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