Individual
LISSETTE MARIA CESPEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
185 S ORANGE AVE, MSB I588, NEWARK, NJ 07103-2757
(973) 972-3479
Mailing address
1852 LONG TER, UNION, NJ 07083-5405
(201) 988-7076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09531800
NJ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25MA09531800
NJ
Other
Enumeration date
01/13/2014
Last updated
02/15/2022
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