Individual
MARIA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 SUMMIT AVE, UNION CITY, NJ 07087-3421
(201) 792-1600
Mailing address
2 JEROME CT, BELLEVILLE, NJ 07109-1652
(973) 809-3939
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00946400
NJ
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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