Individual
NELLIE BURACAN PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4565
Mailing address
285 AYCRIGG AVE APT 21C, PASSAIC, NJ 07055-3738
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA05424300
NJ
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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