Organization
MARIPOSA HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTA M DELGADO MD (CEO)
(201) 319-9722
Entity
Organization
Contact information
Practice address
4121B NEW YORK AVE, UNION CITY, NJ 07087-4927
(201) 319-9722
(201) 319-1707
Mailing address
4121B NEW YORK AVE, UNION CITY, NJ 07087-4927
(201) 319-9722
(201) 319-1707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA043300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8548901
—
NJ
Enumeration date
05/21/2008
Last updated
07/13/2010
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