Search › New Jersey › 225100000X
Serg Mari Entise, BSPT
NPI 1811107733 · on the registry since 2007 · sole proprietor
Practice
- Address
- 400 Passaic Ave
Apt 112
East Newark, NJ 07029 - Phone
- (201) 575-0070
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey