Individual
DR. S JEROME HOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 BROUGHTON AVE, BLOOMFIELD, NJ 07003-3989
(973) 743-1331
(973) 743-6577
Mailing address
108 BROUGHTON AVE, BLOOMFIELD, NJ 07003-3989
(973) 743-1331
(973) 743-6577
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA 28482
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1815709
—
NJ
Enumeration date
04/24/2006
Last updated
07/31/2007
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