Individual
DR. CRISNOEL CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 LACEY RD, SUITE A, WHITING, NJ 08759-2985
(732) 350-0404
(732) 350-2001
Mailing address
65 LACEY RD, SUITE A, WHITING, NJ 08759-2985
(732) 350-0404
(732) 350-2001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06235700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6682901
—
NJ
Enumeration date
08/03/2005
Last updated
07/03/2012
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