Individual
PASCALE FERDINAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 JEFFERSON AVE, ELIZABETH, NJ 07201
(908) 447-7221
(908) 351-6663
Mailing address
115 JEFFERSON AVE, ELIZABETH, NJ 07201-2417
(908) 447-7221
(908) 351-6663
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10152900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0605271
—
NJ
Enumeration date
06/03/2014
Last updated
12/10/2018
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