Provider Demographics
NPI:1063772283
Name:AUGUSTE, JOLITA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:JOLITA
Middle Name:MARIE
Last Name:AUGUSTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 CENTRE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-1564
Mailing Address - Country:US
Mailing Address - Phone:609-785-5870
Mailing Address - Fax:609-785-5867
Practice Address - Street 1:2 CENTRE DR STE 200
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-1564
Practice Address - Country:US
Practice Address - Phone:609-785-5870
Practice Address - Fax:609-785-5867
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY290667208600000X
NJ25MA10585500208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery