Individual
JAN WIERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(856) 325-3952
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(844) 414-8291
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00598300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386654036
AMERICAN ANESTHESIOLOGY OF NEW JERSEY, PC
NJ
Enumeration date
10/19/2015
Last updated
03/17/2018
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