Individual
DR. JESSICA ELIZABETH SHABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
183 SOUTH ORANGE AVE, BHSB E-1447 PSYCHIATRY DEPARTMENT, NEWARK, NJ 07101-1709
(973) 972-4678
Mailing address
183 SOUTH ORANGE AVE, BHSB E-1447 PSYCHIATRY DEPARTMENT, NEWARK, NJ 07101-1709
(973) 972-4678
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25MA08646100
NJ
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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