Individual
DR. JASON RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 W MAIN ST, BOONTON, NJ 07005-1162
(973) 939-6215
(973) 290-8345
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
000000000000000
NJ
Other
Enumeration date
10/23/2008
Last updated
10/16/2020
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