Organization
POBLETE MEDICAL PRACTICE, PC
Active
Organization
POBLETE MEDICAL PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD POBLETE MD (PRESIDENT)
(973) 253-7800
Entity
Organization
Contact information
Practice address
519 RIVER DR, SUITE 4, GARFIELD, NJ 07026-3219
(973) 253-7800
(973) 253-8503
Mailing address
519 RIVER DR, SUITE 4, GARFIELD, NJ 07026-3219
(973) 253-7800
(973) 253-8503
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4645405
—
NJ
Enumeration date
01/08/2008
Last updated
04/24/2008
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