Provider Demographics
NPI:1679976989
Name:FERRER, JEAN G (MD)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:G
Last Name:FERRER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 STUYVESANT AVE APT B4
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-3462
Mailing Address - Country:US
Mailing Address - Phone:609-571-3300
Mailing Address - Fax:
Practice Address - Street 1:2 BOCK BLVD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-1313
Practice Address - Country:US
Practice Address - Phone:732-961-0180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJF27433926712692172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver