Individual
JACOB ISAIAH CITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
217 BROOK AVE, PASSAIC, NJ 07055-3357
(973) 303-6257
Mailing address
14 AMSTERDAM AVE FL 1, PASSAIC, NJ 07055-3307
(973) 868-8174
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QA02064200
NJ
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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