Individual
JOSE OLIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-4924
Mailing address
11 LANE AVE, WEST CALDWELL, NJ 07006-7509
(917) 273-0038
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
43ZA00676000
NJ
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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