Individual
DR. MANUEL JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
89 FRENCH ST RM 1349, NEW BRUNSWICK, NJ 08901-1935
(732) 235-6188
Mailing address
89 FRENCH ST RM 1349, NEW BRUNSWICK, NJ 08901-1935
(732) 235-6188
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
25MA09525800
NJ
2080P0006X
Developmental - Behavioral Pediatrics Physician
MT198441
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/19/2008
Last updated
07/16/2014
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