Dr. Jacques G Losman, M.D.
Surgery in Elizabeth, NJ. Individual provider (NPI-1).
NPI number1063552016
StatusActive
Last updated in NPPESSep 14, 2010
Details
- NPI
- 1063552016
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacques G Losman
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2007
- Last updated
- Sep 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 25MA04496200 | NJ | Yes |
Practice location
240 Williamson StreetSuite 104
Elizabeth, NJ 07207
Phone 908-994-5480
Mailing address
151 Brentwood DrSouth Orange, NJ 07079-1132
Phone 973-274-1240 · Fax 908-994-8802
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