Individual
JEAN MARIE RASIMOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
28 VALLEY RD, SUITE 1, OFFICE #148, MONTCLAIR, NJ 07042
(201) 273-7047
Mailing address
103 HAYTOWN RD, LEBANON, NJ 08833-4015
(908) 455-2228
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00291200
NJ
363LA2200X
Adult Health Nurse Practitioner
SP015806
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0286460
—
NJ
Enumeration date
07/07/2010
Last updated
06/28/2025
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