Individual
DR. JONATHAN L PRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 PLUM STREET, SUITE 600, NEW BRUNSWICK, NJ 08901
(732) 220-1600
(732) 220-1603
Mailing address
1000 GALLOPING HILL RD STE 305, UNION, NJ 07083-7991
(908) 458-8333
(908) 458-8339
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA07734200
NJ
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
25MA07110100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097641
—
NJ
Enumeration date
02/10/2006
Last updated
08/04/2017
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