NPI 1104631043
Jermaul Williams
Practice location
- Address
- 25 Clifton Ave APT D1413, Newark, NJ 07104-1848
- Phone
- (908) 357-4596
- Fax
- (908) 357-4596
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1104631043
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Feb 2025
- Record last updated
- 10 Feb 2025
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.