Provider Demographics
NPI:1982939245
Name:FRIGERIO, JASON (ND, CA)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:FRIGERIO
Suffix:
Gender:M
Credentials:ND, CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 107
Mailing Address - Street 2:4 VILLAGE ROAD
Mailing Address - City:NEW VERNON
Mailing Address - State:NJ
Mailing Address - Zip Code:07976-0107
Mailing Address - Country:US
Mailing Address - Phone:973-267-2650
Mailing Address - Fax:973-267-2659
Practice Address - Street 1:4 VILLAGE RD
Practice Address - Street 2:
Practice Address - City:NEW VERNON
Practice Address - State:NJ
Practice Address - Zip Code:07976-9719
Practice Address - Country:US
Practice Address - Phone:973-267-2650
Practice Address - Fax:973-267-2659
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00036700171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist