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Individual
DR. JOSE I IGLESIAS
Active
Individual
DR. JOSE I IGLESIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MB68834
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390006326
RAILROAD MEDICARE NUMBER
—
05
—
8050007
—
NJ
Enumeration date
06/20/2006
Last updated
03/06/2014
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