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Organization

ALEXIS SORAZON MD & RAMON SANDOVAL MD GREAT FALLS MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXIS CORAZON MD (OWNER)
(973) 389-1300
Entity
Organization

Contact information

Practice address
355 TOTOWA AVE, PATERSON, NJ 07502-2125
(973) 389-1300
Mailing address
355 TOTOWA AVE, PATERSON, NJ 07502-2125
(973) 389-1300

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA63961
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7232900
NJ
Enumeration date
05/25/2006
Last updated
06/27/2008
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