Organization
PEDIATRIC CLINIC OF NORTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICISIMA GABATIN BARRERA-TOLENTINO MD (ADMINISTRATOR)
(201) 792-3022
Entity
Organization
Contact information
Practice address
3524 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07307-3448
(201) 792-3022
Mailing address
3524 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07307-3448
(201) 792-3022
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA04592000
NJ
Other
Enumeration date
03/29/2007
Last updated
09/25/2007
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