Individual
MR. GIANCARLO DAVID CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
550 NEWARK AVE STE 307, JERSEY CITY, NJ 07306-1353
(201) 418-9111
Mailing address
247 ELM ST, ELMWOOD PARK, NJ 07407-1544
(201) 824-3310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00774900
NJ
Other
Enumeration date
06/12/2023
Last updated
06/15/2023
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