Individual
DR. EDEN BAUTISTA ATIENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
41 S HEATHCOTE AVE, EDISON, NJ 08817-4744
(732) 287-3416
Mailing address
41 S HEATHCOTE AVE, EDISON, NJ 08817-4744
(732) 287-3416
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04360400
NJ
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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