Individual
ELIDOMI E. SANTANA-NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
663 PALISADE AVE, CLIFFSIDE PARK, NJ 07010-3012
(201) 945-6500
(201) 945-1157
Mailing address
1100 RIVER RD APT 305, EDGEWATER, NJ 07020-1393
(201) 913-1110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00641000
NJ
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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