Organization
BIENVENIDO C & TERESITY VALENCIA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIENVENIDO C VALENCIA MD (OWNER)
(973) 881-0279
Entity
Organization
Contact information
Practice address
363 21ST AVE, PATERSON, NJ 07501-3640
(973) 881-0279
Mailing address
363 21ST AVE, PATERSON, NJ 07501-3640
(973) 881-0279
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA027214
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477401
—
NJ
05
—
1090704
—
NJ
Enumeration date
10/11/2006
Last updated
08/22/2020
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