Individual
LUIS LEDO SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 BERGEN BLVD, FAIRVIEW, NJ 07022-1941
(201) 366-0805
Mailing address
1775 WINDSOR RD APT 438, TEANECK, NJ 07666-3018
(787) 934-5721
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00765400
NJ
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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