Individual
JASON COMROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 CHESTNUT ST, NEWARK, NJ 07105-1558
(973) 491-6500
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01940200
NJ
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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