IndividualActive
Daniel Jimenez, MD
NPI 1104576818 · Vascular Surgery Physician · Newark, NJ
Provider details
- NPI number
- 1104576818
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- P24-00808 (NJ)
Mailing address
44 Irvine Turner Blvd Apt 316
Newark, NJ 07103-4604
Registry dates
- Enumerated
- 2022-03-25
- Last updated
- 2024-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.