Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 25MA08742900 | NJ |
NPI | 1174698096 |
---|---|
Provider Name | Jennifer Anne Krajewski |
First Address | Hackensack, NJ 07601 |
Second Address | Hackensack, NJ 07601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2006 |
Last Update Date | 18/05/2012 |