Organization
JAE MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZORAYDA OLAYA DELEON M.D. (PRESIDENT)
(201) 963-5500
Entity
Organization
Contact information
Practice address
311 PALISADE AVE, JERSEY CITY, NJ 07307-1772
(201) 963-5500
(201) 963-5563
Mailing address
311 PALISADE AVE, JERSEY CITY, NJ 07307-1772
(201) 963-5500
(201) 963-5563
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MA073038
NJ
Other
Enumeration date
08/18/2007
Last updated
01/13/2015
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