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Individual

DR. JONATHAN DAVID JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
78 E 16TH ST, PATERSON, NJ 07524-1513
(973) 279-0755
Mailing address
78 E 16TH ST, PATERSON, NJ 07524-1513
(973) 279-0755

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
J44234096407892
NJ

Other

Enumeration date
06/09/2015
Last updated
06/09/2015
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