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Individual

JOHN MEAD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
308 WILLOW AVE, HOBOKEN, NJ 07030-3808
(201) 945-2481
(201) 943-8105
Mailing address
PO BOX 51020, NEWARK, NJ 07101-5120
(201) 945-2481
(201) 943-8105

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA06397200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7016107
NJ
Enumeration date
02/25/2006
Last updated
07/09/2007
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