Individual
WESNER NAZAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 W JERSEY ST, ELIZABETH, NJ 07202-1301
(908) 353-1220
Mailing address
405 JOUET ST, ROSELLE, NJ 07203-2233
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QB00309700
NJ
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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