JESUS ALFONSO

NORTH BERGEN, NJ
NPI1386824308
Entity TypeOrganization
Authorized ContactJESUS ALFONSO
Owner
201-330-8747
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA05064100)
Enumeration Date2007-11-07
Last Update Date2007-11-07
Business Address
JESUS ALFONSO
7907 KENNEDY BLVD
NORTH BERGEN, NJ 07047-4137
Phone number: 201-330-8747
Mailing Address
JESUS ALFONSO
7907 KENNEDY BLVD
NORTH BERGEN, NJ 07047-4137
Phone number: 201-330-8747