Individual
DR. BLANCA ANAIS ESTUPINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 PROSPECT AVE STE 702, HACKENSACK, NJ 07601-1974
(908) 359-8980
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
125073009
IL
207N00000X
Dermatology Physician
Primary
25MA1230740
NJ
Other
Enumeration date
03/28/2018
Last updated
06/25/2024
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