Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | JEAN-BAPTISTE, DEMESVAR A. | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1831227719 | [sources] | |||
Sector | MD | [sources] | |||
Status | not available | [sources] | |||
Address | 775 MOUNTAIN BOULEVARD, STE. 1, WATCHUNG, NJ 07069 | [sources] | |||
Last change | Last processed | First seen |
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
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Address | ||
---|---|---|
Full address | Country | |
775 MOUNTAIN BOULEVARD, STE. 1, WATCHUNG, NJ 07069 | United States |