Individual
DR. JAMES E GERVASONI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
(732) 249-5284
Mailing address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
(732) 249-5284
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA7045600
NJ
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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