Individual
DR. TERESITA VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
363 21ST AVE, PATERSON, NJ 07501-3640
(973) 881-0279
Mailing address
363 21ST AVE, PATERSON, NJ 07501-3640
(973) 881-0279
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA26950
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477401
—
NJ
Enumeration date
10/11/2006
Last updated
01/25/2008
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