Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 25MA03556400 | NJ |
NPI | 1013054337 |
---|---|
Provider Name | Miss Emiliana Marquez Magpantay |
First Address | Hoboken, NJ 07030 |
Second Address | Hoboken, NJ 07030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C53448 | (02) |