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1639129307

NPI Code Detail

MEDICARE: ESTRELLA M POBLETE MD

MEDICARE: ESTRELLA M POBLETE MD

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
1	207V00000X	Obstetrics & Gynecology Physician	25MA02817500	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEP029	OTHER		OXFORD
2	0439936002	OTHER		CIGNA HEALTHCARE
3	0441914000	OTHER	NJ	ANERIHEALTH
4	F01283	OTHER		HEALTHNET
5	33086	OTHER		AETNA USHC

General Provider Information

NPI Number	:	1639129307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTRELLA M POBLETE MD

Provider Business Mailing Address
First Line	:	1 HAMILTON HEALTH PL
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08690-3542
Country	:	US
Telephone Number	:	609-631-6899
Fax Number	:	609-631-6898

Provider Business Practice Location Address
First Line	:	1 HAMILTON HEALTH PL
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08690-3542
Country	:	US
Telephone Number	:	609-631-6899
Fax Number	:	609-631-6898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	07/08/2007

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Directions to “ ESTRELLA M POBLETE MD” Practice Location

Language	Start Address	Practice Location

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