Individual
TAYLOR NICOLE JAREMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3548 US HIGHWAY 9, OLD BRIDGE, NJ 08857-2765
(732) 201-6596
Mailing address
441 KOSCIUSKO AVE, SOUTH PLAINFIELD, NJ 07080-3962
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00535700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2019
Last updated
08/18/2019
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