Individual
NATIVIDAD D BATISTA HERASME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 15TH AVE, PATERSON, NJ 07504-1541
(978) 609-4511
Mailing address
505 15TH AVE, PATERSON, NJ 07504-1541
(978) 609-4511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F11230774
NJ
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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