Organization
FAUSTINO F. ESTELLA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAUSTINO F ESTELLA M.D. (PRESIDENT)
(856) 339-9010
Entity
Organization
Contact information
Practice address
330 ROUTE 45, WOODSTOWN RD., SUITE 2, SALEM, NJ 08079-2034
(856) 339-9010
Mailing address
330 ROUTE 45, WOODSTOWN RD., SUITE 2, SALEM, NJ 08079-2034
(856) 339-9010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03581700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031889
AETNA
NJ
01
—
0106063000
AMERIHEALTH
NJ
05
—
3272401
—
NJ
01
—
403663
UNITED HEALTHCARE
NJ
Enumeration date
04/03/2007
Last updated
04/25/2008
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