Individual
JESSICA SALAS MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 INDUSTRIAL WAY WEST, SUITE A104, EATONTOWN, NJ 07724
(732) 918-2500
(732) 918-2504
Mailing address
234 INDUSTRIAL WAY WEST, SUITE A104, EATONTOWN, NJ 07724
(732) 918-2500
(732) 918-2504
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
045972
CT
207VE0102X
Reproductive Endocrinology Physician
257797
NY
207VE0102X
Reproductive Endocrinology Physician
Primary
25MA08947600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347698
—
NJ
Enumeration date
11/27/2007
Last updated
08/26/2014
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