Individual
DR. JONATHAN W. JUCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FRCPC
Contact information
Practice address
481 EDWARD H ROSS DR, ELMWOOD PARK, NJ 07407-3118
(201) 791-3600
(201) 794-0418
Mailing address
290 OAK ST, APT. C, RIDGEWOOD, NJ 07450-2592
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
25MA08239000
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA08239000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08239000
NJ LICENSE
NJ
Enumeration date
06/21/2007
Last updated
09/11/2025
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