Individual
JACQUELINE A. BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
183 SOUTH ORANGE AVENUE, SUITE E1546, NEWARK, NJ 07107-3000
(973) 972-2977
(973) 972-2979
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA03986400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3694704
—
NJ
Enumeration date
01/03/2007
Last updated
08/21/2009
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