BENJAMIN QUIDANGEN

BLOOMFIELD, NJ
NPI1740727791
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  340063)
Enumeration Date2017-01-30
Last Update Date2017-01-30
Business Address
-- BENJAMIN QUIDANGEN
12 LEWIS ST
BLOOMFIELD, NJ 07003-6017
Phone number: 201-957-4114
Mailing Address
-- BENJAMIN QUIDANGEN
12 LEWIS ST
BLOOMFIELD, NJ 07003-6017
Phone number: 201-957-4114
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