Juco, Jonathan W.

Juco, Jonathan W. is an individual health care provider with primary practice located at 481 Edward H Ross Dr , Elmwood Park NJ 07407-3118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Juco, Jonathan W. can be contacted via phone (201) 791-3600.

Contact Information

Primary practice address
481 Edward H Ross Dr Elmwood Park NJ 07407-3118
Phone: (201) 791-3600
Fax: (201) 794-0418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 25MA08239000 New Jersey
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA08239000 New Jersey

Profile Details

NPI number 1871798595
LBN Legal business name Juco, Jonathan W.
Credentials M.D., FRCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871798595 NPPES
New Jersey Other 25MA08239000 NJ LICENSE

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