Individual
DR. JEFFREY L. PESIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 JAMES ST, EDISON, NJ 08820-3945
(732) 906-0091
(732) 906-0249
Mailing address
106 JAMES ST, EDISON, NJ 08820-3945
(732) 906-0091
(732) 906-0249
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA05777800
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA05777800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6556701
—
NJ
Enumeration date
05/11/2006
Last updated
11/13/2008
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