Individual
DEAN ANTONIO BULATAO MAGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 BERGEN ST # UHI-248, NEWARK, NJ 07103-2496
(973) 972-6056
Mailing address
24 JONES ST APT 331, NEWARK, NJ 07103-3842
(610) 417-0731
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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