Individual
DR. JIMI STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 W BROADWAY, PATERSON, NJ 07505-1014
(973) 291-2715
Mailing address
110 BERGEN ST, NEWARK, NJ 07103-2495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02800300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
05/06/2021
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