Individual
MATTHEW JOHN JENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 BERGEN ST, NEWARK, NJ 07103-2495
(973) 972-4242
Mailing address
18 POWDERHORN DR, KINNELON, NJ 07405-2933
(201) 819-8353
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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