Organization
ISABELITA CORDOBA,MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISABELITA YNIGO CORDOBA M.D. (PRESIDENT)
(201) 436-8418
Entity
Organization
Contact information
Practice address
564 BROADWAY, BAYONNE, NJ 07002-3825
(201) 436-8418
(908) 561-1803
Mailing address
39 STRATFORD CIR, EDISON, NJ 08820-1813
(908) 561-1803
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2907003
—
NJ
Enumeration date
11/08/2006
Last updated
11/15/2010
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