| Isabelita Cordoba,mdpa | |
|
564 Broadway Bayonne NJ 07002-3825 | |
| (201) 436-8418 | |
| (908) 561-1803 |
| Full Name | Isabelita Cordoba,mdpa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 564 Broadway, Bayonne, New Jersey |
| Authorized Official Name and Position | Isabelita Ynigo Cordoba (PRESIDENT) |
| Authorized Official Contact | 2014368418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isabelita Cordoba,mdpa 39 Stratford Cir Edison NJ 08820-1813 Ph: (908) 561-1803 | Isabelita Cordoba,mdpa 564 Broadway Bayonne NJ 07002-3825 Ph: (201) 436-8418 |
| NPI Number | 1992875223 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 11/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992875223 | NPI | - | NPPES |
| 2907003 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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