Individual
DR. JOHANNES H DEJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 CAPTAIN BAILEY CT, BRIELLE, NJ 08730-1553
(732) 785-0151
(732) 785-7761
Mailing address
4 CAPTAIN BAILEY CT, BRIELLE, NJ 08730-1553
(732) 785-0151
(732) 785-7761
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
25MA01868000
NJ
Other
Enumeration date
01/09/2011
Last updated
01/09/2011
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