Individual
MR. CESAR III CINCO ESTALILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
530 NEW BRUNSWICK AVE, 530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 324-4975
Mailing address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 324-4975
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01327400
NJ
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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