Individual
MARIA LOURDES D. AGUILERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
5301 BROADWAY AVENUE, WEST NEW YORK, NJ 07094
(201) 866-9320
(201) 866-6782
Mailing address
5301 BROADWAY, WEST NEW YORK, NJ 07093-2622
(201) 866-9320
(201) 866-6782
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
25MA04443100
NJ
Other
Enumeration date
04/12/2011
Last updated
06/04/2014
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