Doctor Name: | DR. JENNIFER ROSE SYREK |
NPI Number: | 1225097066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 25MA07201800 |
Business Practice Address: | 499 Marlboro Rd Suite 1 Old Bridge, NJ - 088573746 |
Business Phone Number: | 7323072300 |
Business Fax Number: | 7323072303 |
Mailing Address: | 499 Marlboro Rd, Suite 1 OLD BRIDGE |
State: | NJ |
Postal Code: | 088573746 |
Phone Number: | 7323072300 |
Fax Number: | 7323072303 |
NPI Enumeration Date: | 03/21/2006 |
NPI Last Update Date: | 05/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA07201800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |