Individual
JOHN G TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 PALISADE AVE, BERGENFIELD, NJ 07621
(201) 385-9810
(201) 385-9812
Mailing address
10 PALISADE AVE, BERGENFIELD, NJ 07621
(201) 385-9810
(201) 385-9812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
47033
NJ
208D00000X
General Practice Physician
Primary
170604
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01023349
—
NY
05
—
7296100
—
NJ
Enumeration date
07/19/2006
Last updated
07/19/2013
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