Organization
NINA L. TUBILLEJA, MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA LAPIDARIO TUBILLEJA MD (PRESIDENT)
(609) 971-9392
Entity
Organization
Contact information
Practice address
403 PENN AVE., FORKED RIVER, NJ 08731-1051
(609) 971-9392
Mailing address
403 PENN AVE., FORKED RIVER, NJ 08731-1051
(609) 971-9392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06960000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8001901
—
NJ
Enumeration date
10/01/2007
Last updated
10/01/2007
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