Individual
JAMIE E FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
377 JERSEY AVE, JERSEY CITY, NJ 07302-4393
(201) 309-2426
Mailing address
76 WILSON ST, HACKENSACK, NJ 07601-2911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00221200
NJ
Other
Enumeration date
08/05/2009
Last updated
12/11/2012
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