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Organization

DR MAYORQUIN CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BERTHA MAYORQUIN M.D. (OWNER/PRESIDENT)
(551) 697-3696
Entity
Organization

Contact information

Practice address
377 JERSEY AVE, SUITE 470, JERSEY CITY, NJ 07302-4393
(201) 918-2239
(201) 918-2243
Mailing address
PO BOX 3550, JERSEY CITY, NJ 07303-3550
(201) 918-2239
(201) 918-2243

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08638600
NJ

Other

Enumeration date
02/14/2012
Last updated
02/14/2012
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