Individual
JISHA ELIZABETH JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 W NORTHFIELD RD, LIVINGSTON, NJ 07039-2625
(973) 330-7631
Mailing address
323 W NORTHFIELD RD, LIVINGSTON, NJ 07039-2625
(973) 330-7631
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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