Most Relevant Information
Provider Data
| NPI Number: | 1003344920 |
| Provider Name: | JOSE DESCHAMPS |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 25MA10647800 |
Most Important Dates
| Enumeration Date: | 05/23/2017 |
| Last Updated: | 01/13/2021 |
Provider Practice Location
30 PROSPECT AVE
HACKENSACK
NJ
076011915
Practice Location Phone/Fax
| Phone: | 5519962000 |
| Fax: |
Provider Mailing Location
180 S ORANGE AVE
NEWARK
NJ
071032775
Provider Mailing Phone/Fax
| Phone: | 2017242364 |
| Fax: |