Individual
DR. CARLOS ALBERTO QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
370 GRAND AVE, 102, ENGLEWOOD, NJ 07631-4154
(201) 567-3370
(201) 816-1265
Mailing address
173 JOHNSTON DR, WATCHUNG, NJ 07069-4927
(908) 723-0224
(908) 755-9326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA05609900
NJ
Other
Enumeration date
07/28/2006
Last updated
07/09/2007
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