Individual
DR. EDGAR RAFAEL MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
760 MARKET ST., PATERSON, NJ 07513
(973) 523-8083
(973) 523-1133
Mailing address
760 MARKET ST., PATERSON, NJ 07513
(973) 523-8083
(973) 523-1133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA05988200
NJ
208000000X
Pediatrics Physician
MA059882
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6257402
—
NJ
Enumeration date
03/31/2006
Last updated
11/18/2013
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