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JEFFREY DESILETS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2125
(201) 384-7333
Mailing address
1 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2125
(201) 384-7333

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
1014974
MA
207W00000X
Ophthalmology Physician
Primary
25MA12394800
NJ

Other

Enumeration date
03/24/2019
Last updated
11/05/2024
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