Individual
MR. ANTHONY C JASIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
380 FORSGATE DR, MONROE, NJ 08831-5114
(609) 409-7525
Mailing address
182 BENNETTS MILLS RD, JACKSON, NJ 08527-4513
(732) 861-7851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01030000
NJ
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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