Organization
1STOP DX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN PENA (MANAGING MEMBER)
(908) 342-0857
Entity
Organization
Contact information
Practice address
99 WALL ST, NEW YORK, NY 10005-4301
(908) 342-0857
Mailing address
129 WILLIAM ST, PERTH AMBOY, NJ 08861-3537
(908) 342-0857
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
436470
HBS ID NUMBER
DE
Enumeration date
04/03/2021
Last updated
04/03/2021
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