JASON GANNON

NEWARK, NJ
NPI1619992690
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0131X 
(Licence: NJ  25MD00257500)
Enumeration Date2006-07-12
Last Update Date2010-12-22
Business Address
-- JASON GANNON D.P.M.
111 MULBERRY ST SUITE 1R
NEWARK, NJ 07102-4008
Phone number: 973-818-9104
Mailing Address
-- JASON GANNON D.P.M.
131 SAFRAN AVE
EDISON, NJ 08837-3205
Phone number: 973-818-9104
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