MR. Apolinar Enrique Medina SR., SOLE PROPIETOR

NPI #1063222941 in Bogota, New Jersey

Provider Information

NPI Number
1063222941
Entity Type
Individual
Name
MR. Apolinar Enrique Medina SR., SOLE PROPIETOR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Driver
Credential
SOLE PROPIETOR
Enumeration Date
Jan 13, 2025
Last Updated
Jan 13, 2025

Practice Location

Address
214 E FORT LEE RD
City
Bogota
ZIP Code
07603-1382
Phone
(347) 260-8828

Specialties & Taxonomy Codes

Specialty
Driver

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