Individual
JOBECCA AVANZADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1014
(908) 522-0000
Mailing address
127 OLD SHORT HILLS RD APT 213, WEST ORANGE, NJ 07052-1065
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001000
PRIVATE
—
Enumeration date
12/27/2013
Last updated
04/28/2014
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