Individual provider · NPI-1

Dr. Eden Bautista Atienza, M.D.

Internal Medicine · Edison, NJ

NPI number1346402104
StatusActive
Last updated in NPPESJul 1, 2008

Details

NPI
1346402104
Entity type
Individual (NPI-1)
Name
Dr. Eden Bautista Atienza
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 1, 2008
Last updated
Jul 1, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine25MA04360400NJYes

Practice location

41 S Heathcote Ave
Edison, NJ 08817-4744

Phone 732-287-3416

Mailing address

41 S Heathcote Ave
Edison, NJ 08817-4744

Phone 732-287-3416

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