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Christopher Nettles

NPI 1952111346 · on the registry since 2025

Practice

Address
613 Washington Blvd # 1220
Jersey City, NJ 07310
Phone
(678) 367-9537

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
104100000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-08

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