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Organization

TOLENTINO MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELVIRA P. TOLENTINO M.D. (OWNER)
(862) 377-4088
Entity
Organization

Contact information

Practice address
401 HAMBURG TPKE, SUITE 108, WAYNE, NJ 07470-2154
(973) 904-9553
(973) 904-9274
Mailing address
25 HIDEAWAY LANE, SPARTA, NJ 07871
(862) 377-4088

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0400459279
NJ
261QU0200X
Urgent Care Clinic/Center
0400459279
NJ

Other

Enumeration date
03/27/2012
Last updated
08/01/2012
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