Individual
JASMINE HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 BERGEN ST STE 4500, NEWARK, NJ 07103-2425
(973) 972-2500
Mailing address
90 BERGEN ST STE 4500, NEWARK, NJ 07103-2425
(212) 305-4308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
290236
MA
207RR0500X
Rheumatology Physician
Primary
25MA12218400
NJ
Other
Enumeration date
03/21/2018
Last updated
07/25/2024
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