Individual
DR. JERRY L JURADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 PALISADE AVE, UNION CITY, NJ 07087-4525
(201) 867-5791
(201) 223-1905
Mailing address
2401 PALISADE AVE, UNION CITY, NJ 07087-4525
(201) 867-5791
(201) 223-1905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA62530
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6689507
—
NJ
Enumeration date
07/14/2006
Last updated
04/14/2014
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