Individual
JOSE ENRIQUE VALDOR MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 37TH ST, UNION CITY, NJ 07087-4994
(201) 864-4477
(201) 869-1819
Mailing address
408 37TH ST, UNION CITY, NJ 07087-4994
(201) 864-4477
(201) 864-0927
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01150900
NJ
363LA2200X
Adult Health Nurse Practitioner
NJDCATEMP-036966
NJ
Other
Enumeration date
03/21/2021
Last updated
10/16/2023
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