Individual
MS. JESLIN JUSTIN MATTATHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11 OVERLOOK RD STE 195, SUMMIT, NJ 07901-3580
(908) 522-6995
(908) 522-5535
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01468700
NJ
Other
Enumeration date
04/13/2023
Last updated
12/12/2023
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