Individual
JAMES DAVIDSON HEFFERNAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 ROUTE 70, LAKEWOOD, NJ 08701-5823
(732) 942-9835
Mailing address
1924 ALCOA HWY, BOX U109, KNOXVILLE, TN 37920-1511
(865) 305-9220
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
164262
TN
367500000X
Certified Registered Nurse Anesthetist
20984
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ14870500
NJ
Other
Enumeration date
02/08/2016
Last updated
08/17/2023
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