Individual
PAUL JERREL G. JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
564 DIVISION AVE, CARLSTADT, NJ 07072-1432
(551) 287-9599
Mailing address
564 DIVISION AVE, CARLSTADT, NJ 07072-1432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N23181
NY
Other
Enumeration date
02/05/2026
Last updated
02/09/2026
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