Individual
MRS. MARISOL A PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPSGT
Contact information
Practice address
235 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-4146
(732) 486-8602
(732) 486-8517
Mailing address
235 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-4146
(732) 486-8602
(732) 486-8517
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
49FW00019600
NJ
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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