| Tolentino Medical LLC | |
|
401 Hamburg Tpke Suite 108 Wayne NJ 07470-2154 | |
| (973) 904-9553 | |
| (973) 904-9274 |
| Full Name | Tolentino Medical LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 401 Hamburg Tpke, Wayne, New Jersey |
| Authorized Official Name and Position | Elvira P. Tolentino (OWNER) |
| Authorized Official Contact | 8623774088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tolentino Medical LLC 25 Hideaway Lane Sparta NJ 07871 Ph: (862) 377-4088 | Tolentino Medical LLC 401 Hamburg Tpke Suite 108 Wayne NJ 07470-2154 Ph: (973) 904-9553 |
| NPI Number | 1306112164 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 08/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306112164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0400459279 (New Jersey) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | 0400459279 (New Jersey) | Secondary |
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