Isabelita Cordoba,mdpa
Internal Medicine, Gastroenterology in Bayonne, NJ. Organization (NPI-2).
NPI number1992875223
StatusActive
Last updated in NPPESNov 15, 2010
Details
- NPI
- 1992875223
- Entity type
- Organization (NPI-2)
- Legal business name
- Isabelita Cordoba,mdpa
- Organization subpart
- No
- Enumeration date
- Nov 8, 2006
- Last updated
- Nov 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | Yes |
Practice location
564 BroadwayBayonne, NJ 07002-3825
Phone 201-436-8418 · Fax 908-561-1803
Mailing address
39 Stratford CirEdison, NJ 08820-1813
Phone 908-561-1803
Authorized official
Isabelita Ynigo Cordoba
President
2014368418
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