Individual
HUMBERTO JOSE CONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7524 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4037
(201) 751-4746
Mailing address
7524 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4037
(201) 758-0290
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA09020800
NJ
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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