Individual
DR. PASCALE KERLEGRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
198 BLOOMFIELD AVE APT 410, BLOOMFIELD, NJ 07003-5781
(917) 603-0070
(973) 338-0046
Mailing address
198 BLOOMFIELD AVE APT 410, BLOOMFIELD, NJ 07003-5781
(917) 603-0070
(973) 338-0046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
196627
NY
207Q00000X
Family Medicine Physician
Primary
25MA07371300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01872848
—
NY
05
—
0255564
—
NJ
Enumeration date
03/18/2007
Last updated
07/21/2022
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