Individual
CHARLOTA JURCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(856) 235-1983
Mailing address
185 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-5007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA11471100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2018
Last updated
12/16/2022
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