Individual
AURORA BALADAD DORNEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 AVENUE C, BAYONNE, NJ 07002-2916
(201) 823-0313
(201) 823-0979
Mailing address
850 AVENUE C, BAYONNE, NJ 07002-2916
(201) 823-0313
(201) 823-0979
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA62573
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050211
—
NJ
Enumeration date
03/02/2006
Last updated
10/02/2012
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