Individual
MARITZA CASTRO-BALBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 ESSEX ST STE 302, HACKENSACK, NJ 07601-3246
(201) 343-8757
Mailing address
294 UNION ST, LODI, NJ 07644-3230
(201) 647-7997
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ15225300
NJ
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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