Mariposa Health Center, Llc | |
4121b New York Ave Union City NJ 07087-4927 | |
(201) 319-9722 | |
(201) 319-1707 |
Full Name | Mariposa Health Center, Llc |
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Speciality | Family Medicine |
Location | 4121b New York Ave, Union City, New Jersey |
Authorized Official Name and Position | Marta M Delgado (CEO) |
Authorized Official Contact | 2013199722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mariposa Health Center, Llc 4121b New York Ave Union City NJ 07087-4927 Ph: (201) 319-9722 | Mariposa Health Center, Llc 4121b New York Ave Union City NJ 07087-4927 Ph: (201) 319-9722 |
NPI Number | 1790942373 |
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Provider Enumeration Date | 05/21/2008 |
Last Update Date | 07/13/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790942373 | NPI | - | NPPES |
8548901 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MA043300 (New Jersey) | Primary |
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