Jose Luis Medina
NPI #1396022562 in Bayonne, New Jersey
Provider Information
- NPI Number
- 1396022562
- Entity Type
- Individual
- Name
- Jose Luis Medina
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 15, 2011
- Last Updated
- Nov 15, 2011
Practice Location
- Address
- 106 W 53RD ST APT 26
- City
- Bayonne
- State
- New Jersey
- ZIP Code
- 07002-3356
- Phone
- (718) 761-9800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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