| Santa Maria Clinic | |
|
845 Kearny Ave Kearny NJ 07032-3244 | |
| (201) 991-1129 | |
| (201) 991-2272 |
| Full Name | Santa Maria Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 845 Kearny Ave, Kearny, New Jersey |
| Authorized Official Name and Position | Mauricio Jorge Sanchez (OWNER) |
| Authorized Official Contact | 2019911129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Maria Clinic 845 Kearny Ave Kearny NJ 07032-3244 Ph: (201) 991-1129 | Santa Maria Clinic 845 Kearny Ave Kearny NJ 07032-3244 Ph: (201) 991-1129 |
| NPI Number | 1720344690 |
|---|---|
| Provider Enumeration Date | 04/05/2012 |
| Last Update Date | 04/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720344690 | NPI | - | NPPES |
| 235585 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA06334400 (New Jersey) | Primary |
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