Individual
CHRISTOPHER JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1404 GUSTAV AVE, UNION, NJ 07083-6237
(973) 704-1692
Mailing address
1404 GUSTAV AVE, UNION, NJ 07083-6237
(973) 704-1692
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NJ
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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