Jason Gannon, D.P.M

NPI 1619992690 · on the registry since 2006 · sole proprietor

Practice

Address: 111 Mulberry St
Suite 1r
Newark, NJ 07102
Phone: (973) 818-9104
Organisation at this address: Medi-Imaging
Dr Kenneth Frank
Root Health And Wellness
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 213ES0131X
213ES0131X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-12-22

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