Organization
SANTA CLARA PEDIATRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARIS ALEJANDRA EGUINO CONDE M.D (MEDICINE DOCTOR)
(201) 758-0290
Entity
Organization
Contact information
Practice address
7524 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4037
(201) 758-0290
Mailing address
7524 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4037
(201) 758-0290
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08433000
NJ
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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