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NPI Code Detail

MEDICARE: JOSE PINAL, M.D., P.C.

MEDICARE: JOSE PINAL, M.D., P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician25MA03550000NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164860631
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSE PINAL, M.D., P.C.
Provider Business Mailing Address
First Line : 526 42ND ST
Second Line :
City : UNION CITY
State : NJ
Zip : 07087-2989
Country : US
Telephone Number : 201-865-9195
Fax Number : 201-865-4416
Provider Business Practice Location Address
First Line : 526 42ND ST
Second Line :
City : UNION CITY
State : NJ
Zip : 07087-2989
Country : US
Telephone Number : 201-865-9195
Fax Number : 201-865-4416
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOSE PINAL
Credential : M.D.
Telephone Number : 201-865-9195
Provider Enumeration Date : 06/06/2013
Last Update Date : 06/06/2013

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