| Dr Mayorquin Corporation | |
|
377 Jersey Ave Suite 470 Jersey City NJ 07302-4393 | |
| (201) 918-2239 | |
| (201) 918-2243 |
| Full Name | Dr Mayorquin Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 377 Jersey Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Bertha Mayorquin (OWNER/PRESIDENT) |
| Authorized Official Contact | 5516973696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mayorquin Corporation Po Box 3550 Jersey City NJ 07303-3550 Ph: (201) 918-2239 | Dr Mayorquin Corporation 377 Jersey Ave Suite 470 Jersey City NJ 07302-4393 Ph: (201) 918-2239 |
| NPI Number | 1467725978 |
|---|---|
| Provider Enumeration Date | 02/14/2012 |
| Last Update Date | 02/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467725978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA08638600 (New Jersey) | Primary |
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