Organization
ADULT & PEDIATRIC ALLERGIST OF CENTRAL JERSEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANN DEJESUS (OFFICE MANAGER)
(732) 321-1920
Entity
Organization
Contact information
Practice address
1740 OAK TREE RD, EDISON, NJ 08820-2847
(732) 321-1920
(732) 906-1781
Mailing address
1740 OAK TREE RD, EDISON, NJ 08820-2847
(732) 321-1920
(732) 906-1781
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1398300
—
NJ
Enumeration date
12/19/2006
Last updated
09/02/2008
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