Organization
NHCAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA LLORENTE CNP (WOMEN'S HEALTH COORDINATOR)
(201) 866-9320
Entity
Organization
Contact information
Practice address
5301 BROADWAY, WEST NEW YORK, NJ 07093-2622
(201) 866-9320
(201) 867-9124
Mailing address
25 N END DR, SECAUCUS, NJ 07094-4047
(201) 866-9320
(201) 867-9124
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
26NJ00034300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2151
—
NJ
Enumeration date
07/10/2006
Last updated
03/13/2012
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