Individual
DR. EDUARDO FRANCISCO ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 BRENDENWOOD DR, VOORHEES, NJ 08043-1603
(856) 874-0202
(856) 874-0220
Mailing address
1415 MARLTON PIKE E STE LL5, CHERRY HILL, NJ 08034-2229
(856) 285-7200
(856) 285-7201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05198500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0455091
MEDICAID GROUP
NJ
01
—
381020
MEDICARE GROUP
NJ
Enumeration date
12/13/2006
Last updated
02/11/2019
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