Gervasio, Jeanine-Marie

Gervasio, Jeanine-Marie is an sole proprietor health care provider with primary practice located at 623 Eagle Rock Ave , West Orange NJ 07052-2948. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gervasio, Jeanine-Marie can be contacted via phone (201) 455-3144.

Contact Information

Primary practice address
623 Eagle Rock Ave West Orange NJ 07052-2948
Phone: (201) 455-3144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT40QA00692900 New Jersey

Profile Details

NPI number 1134884950
LBN Legal business name Gervasio, Jeanine-Marie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2021
Last updated Nov 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers