Joan M. Jerrido
Podiatrist
2 Plaza Dr
Sewell
, New Jersey 08080-9207
Joan M. Jerrido
Podiatrist
2 Plaza Dr
Sewell
, New Jersey 08080-9207
(856) 356-4924
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Joan M. Jerrido
- 1 Federal St Ste Sw200
- Camden, NJ
- Zip : 08103-1155
- Phone : (856) 356-4924
Second Address
- Joan M. Jerrido
- 2 Plaza Dr
- Sewell, NJ
- Zip : 08080-9207
- Fax : (856) 270-4044
- Phone : (856) 270-4030
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What type of doctor is Joan M. Jerrido
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Is Joan M. Jerrido a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 25MD00300100 | NJ |
| Y | 222Z00000X | Podiatrist | 25MD00300100 | NJ |
National Provider Identifier
| NPI | 1043442593 |
|---|---|
| Provider Name | Joan M. Jerrido |
| First Address | Camden, NJ 08103-1155 |
| Second Address | Sewell, NJ 08080-9207 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2009 |
| Last Update Date | 11/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 25MD00300100 | LICENSE (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.