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Individual

DR. JERALD P VIZZONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
242 CLAREMONT AVE, MONTCLAIR, NJ 07042-2812
(973) 783-1444
(973) 783-7755
Mailing address
242 CLAREMONT AVE, MONTCLAIR, NJ 07042-2812
(973) 783-1444
(973) 783-7755

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MB06085400
NJ

Other

Enumeration date
04/16/2007
Last updated
07/08/2007
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