Individual
JASON CERVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
335 BOULEVARD, BOX 569, ELMWOOD PARK, NJ 07407-2202
(908) 812-0000
Mailing address
335 BOULEVARD, BOX 569, ELMWOOD PARK, NJ 07407-2202
(908) 812-0000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
284238490238409
NJ
Other
Enumeration date
12/21/2008
Last updated
12/21/2008
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