Organization
MUNDO CHICO PEDIATRIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JACQUELINE RODRIGUEZ M.D. (PRESIDENT)
(201) 590-9490
Entity
Organization
Contact information
Practice address
1617 BERGENLINE AVE., UNION CITY, NJ 07087-3208
(201) 590-9490
Mailing address
1617 BERGENLINE AVE., UNION CITY, NJ 07087-3208
(201) 590-9490
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA08837600
NJ
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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