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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSE LUIS MEDINA

Active Sole Proprietor

JOSE LUIS MEDINA is a Community/Behavioral Health healthcare provider located in BAYONNE, New Jersey. NPI 1396022562 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · BAYONNE, NJ

Registration Details

NPI Number
1396022562
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2011 (14.724043500575 yrs)
Last Updated
Nov 15, 2011
Sole Proprietor
Yes

Practice Information

Address
106 W 53RD ST APT 26
BAYONNE, NJ, 070023356
Browse NJ providers · Browse ZIP 07002
Phone
7187619800
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in BAYONNE, NJ

Name Credential NPI
GIULIA C CATANZARITI M.A 1255708814
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.