Doctor Name: | CESAR VALENTIN |
NPI Number: | 1073993739 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | V02691200005772 |
Business Practice Address: | 913 Main Avenue Passaic, NJ - 07055 |
Business Phone Number: | 9734588000 |
Business Fax Number: | 9734588425 |
Mailing Address: | 224 Autumn St, PASSAIC |
State: | NJ |
Postal Code: | 07055 |
Phone Number: | 9734588000 |
Fax Number: | 9734588425 |
NPI Enumeration Date: | 06/08/2015 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0222X |
License Number: | V02691200005772 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics, Critical Care |
Taxonomy Definition: |