DEXTER MATA CALDONA

PASSAIC, NJ
NPI1114415155
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NJ  26NJ00636200)
Enumeration Date2018-04-25
Last Update Date2018-04-25
Business Address
DEXTER MATA CALDONA
39 AYCRIGG AVE
PASSAIC, NJ 07055-5664
Phone number: 973-981-0476
Mailing Address
DEXTER MATA CALDONA
39 AYCRIGG AVE
PASSAIC, NJ 07055-5664
Phone number: 973-981-0476
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