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Individual

JAY LEE CALESNICK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
261 ROUTE 45, SALEM, NJ 08079-2023
(856) 935-0700
(856) 935-8630
Mailing address
261 ROUTE 45, SALEM, NJ 08079-2023
(856) 935-0700
(856) 935-8630

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA39059
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2298601
NJ
Enumeration date
05/11/2006
Last updated
07/08/2007
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