Individual
JORGE LUIS VIVAR-AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE, ENGLEWOOD, NJ 07631-1808
(201) 984-3664
Mailing address
350 ENGLE ST, ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE, ENGLEWOOD, NJ 07631-1808
(201) 984-3664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D80895
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/10/2013
Last updated
09/07/2016
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