Individual
MR. EBENEZER GARCIA BOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
50 POLIFLY RD, HACKENSACK, NJ 07601-3287
(201) 968-3004
Mailing address
333 HILLSIDE AVE, LEONIA, NJ 07605-1619
(201) 658-3404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR13019800
NJ
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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