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NPI Code Detail

MEDICARE: MRS. JAZMARIE URENA

MEDICARE: MRS. JAZMARIE URENA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor37LC00363100NJ

General Provider Information

NPI Number : 1518652908
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAZMARIE URENA
Provider Business Mailing Address
First Line : 35 MELVIN AVE
Second Line :
City : ISELIN
State : NJ
Zip : 08830-2439
Country : US
Telephone Number : 908-906-5981
Fax Number :
Provider Business Practice Location Address
First Line : 373 CLERMONT TER
Second Line :
City : UNION
State : NJ
Zip : 07083-8073
Country : US
Telephone Number : 908-355-7886
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2023
Last Update Date : 04/10/2023

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Directions to “ MRS. JAZMARIE URENA ” Practice Location

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