Isabelita Cordoba,mdpa | |
564 Broadway Bayonne NJ 07002-3825 | |
(201) 436-8418 | |
(908) 561-1803 |
Full Name | Isabelita Cordoba,mdpa |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 564 Broadway, Bayonne, New Jersey |
Authorized Official Name and Position | Isabelita Ynigo Cordoba (PRESIDENT) |
Authorized Official Contact | 2014368418 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Isabelita Cordoba,mdpa 39 Stratford Cir Edison NJ 08820-1813 Ph: (908) 561-1803 | Isabelita Cordoba,mdpa 564 Broadway Bayonne NJ 07002-3825 Ph: (201) 436-8418 |
NPI Number | 1992875223 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 11/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992875223 | NPI | - | NPPES |
2907003 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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