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Organization

DIVINE GRACE MEDICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARCIANO FIGUEROA (PHYSICIAN)
(973) 235-1772
Entity
Organization

Contact information

Practice address
159 BLOOMFIELD AVE, NUTLEY, NJ 07110-3135
(973) 235-1772
(973) 235-1774
Mailing address
159 BLOOMFIELD AVE, NUTLEY, NJ 07110-3135
(973) 235-1772
(973) 235-1774

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
07/26/2007
Last updated
07/26/2007
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