Individual
MS. ELIZA MAE TANGONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
74 ANDREW ST, BAYONNE, NJ 07002-2606
(201) 360-1793
Mailing address
74 ANDREW ST, BAYONNE, NJ 07002-2606
(201) 360-1793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00498900
NJ
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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