Whalio Doctors

NPI 1083111843

Karl Jerson Venescar

Practitioner Supports Brokerage Agency McAfee, NJ

Practice location

Address
40 Route 94, McAfee, NJ 07428
Phone
(973) 440-0802
Fax
(973) 965-9559
Mailing address
PO Box 932, Mc Afee, NJ 07428-0932

Registered specialties (2)

Supports Brokerage Agency Primary
Agencies Taxonomy 251X00000X
Case Management Agency
Agencies Taxonomy 251B00000X

Registry record

NPI
1083111843
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Apr 2018
Record last updated
22 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.