Individual
DR. MARIA GUTIERREZ MENA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
418 57TH ST, WEST NEW YORK, NJ 07093-2120
(201) 868-5391
(201) 453-1054
Mailing address
418 57TH ST, WEST NEW YORK, NJ 07093-2120
(201) 868-5391
(201) 453-1054
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03403300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1258605
—
NJ
Enumeration date
10/04/2005
Last updated
07/08/2007
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