Individual
JELENA VASIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 SEYMOUR ST, MONTCLAIR, NJ 07042-3771
(973) 302-9585
(908) 790-6500
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11091500
NJ
Other
Enumeration date
03/05/2015
Last updated
03/03/2022
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