NPI 1063222941

Apolinar Enrique Medina, SOLEPROPIETOR

Practitioner Driver Bogota, NJ

Practice location

Address: 214 E Fort Lee Rd, Bogota, NJ 07603-1382
Phone: (347) 260-8828

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence M21370556506692 (NJ)

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Registry record

NPI: 1063222941
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2025
Record last updated: 13 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.