Individual
JOHN M HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 ESSEX ST STE 401, HACKENSACK, NJ 07601-8566
(551) 996-1140
Mailing address
6 CLARK CT, BELLE MEAD, NJ 08502-4612
(908) 874-0315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MA64534
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MA64534
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7196806
—
NJ
Enumeration date
11/01/2006
Last updated
07/14/2022
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