Individual
JOHNATHAN TEJADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3242 RIVERSIDE STATION BLVD # 3242, SECAUCUS, NJ 07094-4432
(786) 238-1437
Mailing address
3242 RIVERSIDE STATION BLVD # 3242, SECAUCUS, NJ 07094-4432
(786) 238-1437
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T230433840100
FL
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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