Individual
DR. JOSE GUILLERMO REVELO PAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 RANCOCAS RD, WESTAMPTON, NJ 08060-5613
(800) 603-6767
Mailing address
650 RANCOCAS RD, WESTAMPTON, NJ 08060-5613
(800) 603-6767
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11186800
NJ
207R00000X
Internal Medicine Physician
ME 125065
FL
Other
Enumeration date
06/29/2012
Last updated
09/16/2021
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