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Individual

JEROME H YOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(908) 598-1500
(908) 598-0197
Mailing address
100 ROUTE 59, SUITE 105, SUFFERN, NY 10901-4927
(845) 357-5775
(845) 357-5777

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
248722
NY
207L00000X
Anesthesiology Physician
Primary
25MA08217600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0132594
NJ
05
03303335
NY
Enumeration date
06/04/2007
Last updated
06/20/2013
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