Santa Maria Clinic
Clinic/Center, Primary Care in Kearny, NJ. Organization (NPI-2).
NPI number1720344690
StatusActive
Last updated in NPPESApr 5, 2012
Details
- NPI
- 1720344690
- Entity type
- Organization (NPI-2)
- Legal business name
- Santa Maria Clinic
- Organization subpart
- No
- Enumeration date
- Apr 5, 2012
- Last updated
- Apr 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 25MA06334400 | NJ | Yes |
Practice location
845 Kearny AveKearny, NJ 07032-3244
Phone 201-991-1129 · Fax 201-991-2272
Mailing address
845 Kearny AveKearny, NJ 07032-3244
Phone 201-991-1129 · Fax 201-991-2272
Authorized official
Mauricio Jorge Sanchez
Owner
2019911129
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