Johnathan Tejada

NPI #1194439570 in Secaucus, New Jersey

Provider Information

NPI Number: 1194439570
Entity Type: Individual
Name: Johnathan Tejada
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jan 10, 2023
Last Updated: Jan 10, 2023

Practice Location

Address: 3242 RIVERSIDE STATION BLVD # 3242
City: Secaucus
State: New Jersey
ZIP Code: 07094-4432
Phone: (786) 238-1437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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