Individual
JASPER WALKER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
374 COMMUNIPAW AVE, JERSEY CITY, NJ 07304-3724
(201) 433-1888
Mailing address
335 PACIFIC AVE, JERSEY CITY, NJ 07304-3711
(201) 699-7382
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LA1122593
NY
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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