Individual
JUSTICE HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 W 5TH AVE, ROSELLE, NJ 07203-1120
(973) 680-2860
Mailing address
355 W 5TH AVE, ROSELLE, NJ 07203-1120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR26180700
NJ
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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