Individual
JAKE MCCUSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 HADDON AVE FL 3, CAMDEN, NJ 08103-3101
(856) 988-6260
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
134343
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01079300
NJ
Other
Enumeration date
11/17/2020
Last updated
02/11/2025
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