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Specialty details in registry · Jersey City, NJ

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At a glance

139 Cator Ave, Jersey City, NJ 07305-2801

NPPES record updated Jun 16, 2020. Public records can lag behind changes at a practice.

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Practice location

139 Cator Ave
Jersey City, NJ 07305-2801

Professional details: NPI, taxonomy & registry record

NPI1619592540

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 225800000X
Enumeration date: Jun 16, 2020
Record updated: Jun 16, 2020

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

225800000X · Primary

Specialty details in registry

251C00000X

Specialty details in registry

251V00000X

Specialty details in registry

385HR2060X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

139 Cator Ave
Jersey City, NJ 07305-2801

Phone: (973) 667-8525

Mailing address

77 TIONA AVE

BELLEVILLE, NJ 071092235

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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