Individual
MR. JON-KERWIN LAGASCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3000
Mailing address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NR16997200
NJ
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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