Individual
DR. LUIS A CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
323 62ND ST, WEST NEW YORK, NJ 07093-2323
(201) 392-3527
(201) 392-3534
Mailing address
PO BOX 23617, NEW YORK, NY 10087-0001
(201) 392-3527
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09326200
NJ
208000000X
Pediatrics Physician
25MA09326200
NJ
Other
Enumeration date
05/07/2012
Last updated
05/11/2023
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