Individual
THELMA ENDAYA-AGUILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 NEWARK AVE, SUITE 305, JERSEY CITY, NJ 07306
(201) 963-2320
(201) 222-2099
Mailing address
550 NEWARK AVE, SUITE 305, JERSEY CITY, NJ 07306
(201) 963-2320
(201) 222-2099
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA3538200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1108107
—
NJ
Enumeration date
07/08/2006
Last updated
06/25/2019
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