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Organization
ROQUE MEDICAL PC
Active
Organization
ROQUE MEDICAL PC
Active
Other names
De Corazon Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELO VENEGAS MD (MEDICAL DIRECTOR)
(347) 524-1914
Entity
Organization
Contact information
Practice address
24 W 25TH ST, NEW YORK, NY 10010-2704
(212) 675-3288
Mailing address
659 GLENWOOD AVE, TEANECK, NJ 07666-6532
(347) 524-1914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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