Individual
NICOLE JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 731-3600
Mailing address
45 BAY HILL BLVD, MONROE TOWNSHIP, NJ 08831-4515
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QA01989000
NJ
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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