Individual
JULIETTE QUINTERO SOLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 N WASHINGTON AVE, BERGENFIELD, NJ 07621-1751
(201) 384-0300
(201) 384-9518
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(201) 384-0300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA079099
NJ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
25MA079099
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085481
—
NJ
Enumeration date
12/13/2006
Last updated
04/06/2023
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