Organization
INTEGRATED MEDICAL CENTER OF BAYONNE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUANITA JENYONS MD (OFFICER)
(917) 991-1220
Entity
Organization
Contact information
Practice address
449 AVENUE C, BAYONNE, NJ 07002-5105
(201) 823-2334
(201) 823-2344
Mailing address
42 QUARRY DR, WEST PATERSON, NJ 07424-4201
(917) 991-1220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA0033221
NJ
207V00000X
Obstetrics & Gynecology Physician
25MA08448100
NJ
Other
Enumeration date
06/24/2009
Last updated
07/16/2009
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