Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 25MA08262300 | NJ |
NPI | 1184654824 |
---|---|
Provider Name | Marcus Jurema |
First Address | Basking Ridge, NJ 07920-2976 |
Second Address | Basking Ridge, NJ 07920-2976 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 09/04/2015 |