Individual
DR. AIDA RODRIGO NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 SULLIVAN WAY, WEST TRENTON, NJ 08628-3406
(609) 633-1562
Mailing address
301 SULLIVAN WAY, WEST TRENTON, NJ 08628-3406
(609) 633-1562
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA05285800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
716757C2D
MEDICARE PROVIDER NUMBER
NJ
Enumeration date
10/12/2006
Last updated
04/18/2008
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