Individual
DR. JOCELYNE LOUIS-JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
742 CLINTON AVE, NEWARK, NJ 07108-1202
(973) 372-3400
Mailing address
PO BOX 435, IRVINGTON, NJ 07111-0435
(973) 372-3400
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
39525
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0559601
—
NJ
Enumeration date
03/13/2007
Last updated
07/08/2007
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