Organization
APOLLO HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THELMA MAPA BUERANO MD (OWNER)
(732) 408-9585
Entity
Organization
Contact information
Practice address
2142 ROUTE 70, MANCHESTER, NJ 08759-4735
(732) 408-9585
(732) 408-9586
Mailing address
2142 ROUTE 70, MANCHESTER, NJ 08759-4735
(732) 408-9585
(732) 408-9586
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA07716200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051136
—
NJ
Enumeration date
04/25/2007
Last updated
07/27/2010
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