Organization
VICENTE UMALI PEDIATRIC ASSOCS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LETICIA UMALI RN (OFFICE MANAGER)
(201) 209-9007
Entity
Organization
Contact information
Practice address
395 DANFORTH AVE, DANFORTH PLAZA, JERSEY CITY, NJ 07305
(201) 209-9007
(201) 432-5142
Mailing address
PO BOX 24203, JERSEY CITY, NJ 07304
(201) 209-9007
(201) 432-5142
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8289409
UNISYS MEDICAID
—
05
—
8289409
—
NJ
Enumeration date
08/20/2006
Last updated
08/22/2020
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