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Organization

JONATHAN PURISIMA DPM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN GRECIA PURISIMA DPM (OWNER)
(201) 394-1703
Entity
Organization

Contact information

Practice address
1005 NEW YORK AVE, UNION CITY, NJ 07087-4127
(201) 394-1703
Mailing address
1005 NEW YORK AVE, UNION CITY, NJ 07087-4127
(201) 394-1703

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00299500
NJ

Other

Enumeration date
01/04/2012
Last updated
02/06/2012
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