Individual
JASON JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 NEW BRIDGE RD, BERGENFIELD, NJ 07621-4112
(201) 385-6883
(201) 385-3594
Mailing address
80 NEW BRIDGE RD, BERGENFIELD, NJ 07621-4112
(201) 385-0091
(201) 385-0133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02795700
NJ
Other
Enumeration date
02/11/2008
Last updated
12/15/2015
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