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Individual

JON RESTIVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 RIVER AVE, LAKEWOOD, NJ 08701-5237
(848) 480-9671
Mailing address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
06/08/2026
Last updated
06/08/2026
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