| Theodore F Jasper M.d. P.c. | |
|
1010 Clifton Ave Clifton NJ 07013 | |
| (973) 472-8550 | |
| (973) 472-8580 |
| Full Name | Theodore F Jasper M.d. P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1010 Clifton Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Theodore F Jasper (OWNER) |
| Authorized Official Contact | 9734728550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore F Jasper M.d. P.c. 1010 Clifton Ave Clifton NJ 07013 Ph: (973) 472-8550 | Theodore F Jasper M.d. P.c. 1010 Clifton Ave Clifton NJ 07013 Ph: (973) 472-8550 |
| NPI Number | 1811084700 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 12/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811084700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MA0066352 (New Jersey) | Primary |
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