Individual
DR. DANIELLE LOUISA JARDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.B,B.S.
Contact information
Practice address
120 MILLBURN AVE STE 204, MILLBURN, NJ 07041-1935
(973) 467-9282
Mailing address
120 MILLBURN AVE STE 204, MILLBURN, NJ 07041-1935
(201) 221-6816
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09192200
NJ
207R00000X
Internal Medicine Physician
261607
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337394YH4S
—
NJ
Enumeration date
07/26/2011
Last updated
07/21/2022
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