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NPI Code Detail

MEDICARE: MRS. MARIA CARMEN LIJO M.D.

MEDICARE: MRS. MARIA CARMEN LIJO M.D.
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
1207Q00000XFamily Medicine PhysicianMA65671NJ

General Provider Information

NPI Number : 1538129168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA CARMEN LIJO M.D.
Provider Business Mailing Address
First Line : PO BOX 95000 LB# 7550
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19195-7550
Country : US
Telephone Number : 844-362-1735
Fax Number : 973-290-7495
Provider Business Practice Location Address
First Line : 340 SPEEDWELL AVE
Second Line :
City : MORRIS PLAINS
State : NJ
Zip : 07950-2124
Country : US
Telephone Number : 973-267-9899
Fax Number : 973-538-3522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 10/02/2018

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