Whalio Doctors

NPI 1104362623

Jayne Rock-Gangale, OT

Practitioner Community Health Worker Bloomfield, NJ

Practice location

Address
194 Montgomery St, Bloomfield, NJ 07003-4926
Phone
(973) 495-8409
Fax
(973) 337-5327

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence 46TR00222200 (NJ)

Registry record

NPI
1104362623
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Jan 2017
Record last updated
7 Jan 2017

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.