JEFFREY PAUL TAKACH

TINTON FALLS, NJ
NPI1285684670
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00026700)
Enumeration Date2006-05-10
Last Update Date2007-07-08
Business Address
-- JEFFREY PAUL TAKACH PA-C
2 CENTER PLZ
TINTON FALLS, NJ 07724-9744
Phone number: 732-460-5360
Mailing Address
-- JEFFREY PAUL TAKACH PA-C
411 S RIVERSIDE DR
NEPTUNE, NJ 07753-5840
Phone number: