Individual
MR. APOLINAR ENRIQUE MEDINA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOLE PROPIETOR
Contact information
Practice address
214 E FORT LEE RD, BOGOTA, NJ 07603-1382
(347) 260-8828
Mailing address
214 E FORT LEE RD, BOGOTA, NJ 07603-1382
(347) 260-8828
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
M21370556506692
NJ
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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