NPI 1912566035
Ryan R Jackson
Practice location
- Address
- 92 Broadway, Denville, NJ 07834-2761
- Phone
- (973) 627-0009
- Mailing address
- 2501 Cottontail Ln, Somerset, NJ 08873-5125
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1912566035
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Jun 2019
- Record last updated
- 12 Jun 2019
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.