Individual
MISS CHRISTINA MAY BONGALOS SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
983 PALISADE AVE, TEANECK, NJ 07666-3422
(201) 907-0637
Mailing address
983 PALISADE AVE, TEANECK, NJ 07666-3422
(201) 907-0637
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00234900
NJ
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/25/2008
Last updated
10/30/2020
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