Individual
JASMINE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
707 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2698
(973) 761-6111
Mailing address
4 EMIL ST, PRINCETON JUNCTION, NJ 08550-1342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
12/03/2020
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