Gervasio, Jeanine-Marie
Gervasio, Jeanine-Marie is an sole proprietor health care provider with primary practice located at 623 Eagle Rock Ave , West Orange NJ 07052-2948. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gervasio, Jeanine-Marie can be contacted via phone (201) 455-3144.Contact Information
Primary practice address
623 Eagle Rock Ave
West Orange NJ 07052-2948
Phone: (201) 455-3144
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT40QA00692900 | New Jersey |
Profile Details
| NPI number | 1134884950 |
|---|---|
| LBN Legal business name | Gervasio, Jeanine-Marie |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2021 |
| Last updated | Nov 5th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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