Individual
DR. LOUIS JEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2185 LEMOINE AVE, SUITE 1M, FORT LEE, NJ 07024-6036
(201) 944-0797
(201) 944-5080
Mailing address
167 ELMWOOD AVE, GLEN ROCK, NJ 07452-3011
(201) 444-7864
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22DI01347000
NJ
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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