Organization
P & C MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA D CISNERO M.D. (OWNER/PHYSICIAN)
(908) 659-0075
Entity
Organization
Contact information
Practice address
534 WESTFIELD AVE FL 2, ELIZABETH, NJ 07208-1623
(908) 659-0075
(908) 459-4300
Mailing address
530 WESTFIELD AVE FL 2, ELIZABETH, NJ 07208-1623
(908) 659-0075
(908) 459-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA08784000
NJ
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253669
—
NJ
Enumeration date
12/21/2010
Last updated
04/14/2021
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