specializing in general practice in Bogota, New Jersey

NPI: 1053832758

Provider Type

2

Practice Locations

Mailing Location

PO BOX 44

BOGOTA, NJ 07603

📞 2019969035

Practice Location

241 MAIN ST FL 4

HACKENSACK, NJ 07601

📞 2019969035

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:7/3/2017
Last Updated:7/21/2017

Credentials

Primary Credential:
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