Provider Demographics
NPI:1073930186
Name:APONTE, EMILIA LAURA (DO)
Entity Type:Individual
Prefix:DR
First Name:EMILIA
Middle Name:LAURA
Last Name:APONTE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201-2038
Mailing Address - Country:US
Mailing Address - Phone:908-289-5646
Mailing Address - Fax:
Practice Address - Street 1:595 DIVISION ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-2038
Practice Address - Country:US
Practice Address - Phone:908-289-5646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB1007100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine