Individual
JENNIFER L MOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
125 PATERSON ST, SUITE 4100, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7800
(732) 235-7013
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00067800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MP00067800
NEW JERSEY LICENCE
NJ
Enumeration date
01/16/2007
Last updated
01/11/2011
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