Individual
JACKLYN SARA MAHGEREFTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
601 RTE 37 W, TOMS RIVER, NJ 08755-8050
(732) 244-4400
(732) 505-2171
Mailing address
601 RTE 37 W, TOMS RIVER, NJ 08755-8050
(732) 244-4400
(732) 505-2171
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MB11763200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
08/07/2023
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