Provider Demographics
NPI:1457445637
Name:CERDENA, MARIA CORAZON (MD, FAAP)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CORAZON
Last Name:CERDENA
Suffix:
Gender:F
Credentials:MD, FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SHEFFIELD ST STE 303
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07092-2320
Mailing Address - Country:US
Mailing Address - Phone:908-277-4480
Mailing Address - Fax:
Practice Address - Street 1:200 SHEFFIELD ST STE 303
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-2320
Practice Address - Country:US
Practice Address - Phone:908-277-4480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA57621208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJCE508553Medicare ID - Type Unspecified
NJF71732Medicare UPIN