Nerissa Malabanan, MD
Pediatrics in Bayonne, NJ. Individual provider (NPI-1).
NPI number1255428124
StatusActive
Last updated in NPPESFeb 24, 2012
Details
- NPI
- 1255428124
- Entity type
- Individual (NPI-1)
- Name
- Nerissa Malabanan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2006
- Last updated
- Feb 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 25MA06095100 | NJ | Yes |
Practice location
1222 Kennedy BlvdBayonne, NJ 07002-9211
Phone 201-319-9800 · Fax 201-437-9661
Mailing address
3196 Kennedy BlvdSuite 2
Union City, NJ 07087-2436
Phone 201-319-9800 · Fax 201-437-9661
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