Provider Demographics
NPI:1205443900
Name:RINCON, CESAR
Entity type:Individual
Prefix:MR
First Name:CESAR
Middle Name:
Last Name:RINCON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-6605
Mailing Address - Country:US
Mailing Address - Phone:856-313-2075
Mailing Address - Fax:
Practice Address - Street 1:400 HUDSON ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6605
Practice Address - Country:US
Practice Address - Phone:201-719-9050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-26
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician