Individual
MS. ANA MIGUEL KOMOTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 HURON AVE, SUITE 1P, JERSEY CITY, NJ 07306
(201) 963-8203
(201) 963-9155
Mailing address
250 GORGE ROAD, SUITE 16 J, CLIFFSIDE PARK, NJ 07010
(201) 941-6159
(201) 941-5296
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA03029500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392308
—
NJ
Enumeration date
05/08/2006
Last updated
07/01/2010
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