Individual
JOHAN VAN JAARSVELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
81 DEER RUN RD, WOODBRIDGE, CT 06525-1907
(281) 460-9533
Mailing address
81 DEER RUN RD, WOODBRIDGE, CT 06525-1907
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
051848
CT
Other
Enumeration date
08/12/2011
Last updated
09/09/2013
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