Individual
DR. JONATHAN P QUEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
(732) 321-7330
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
(732) 321-7330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA62010
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA06201000
NJ
Other
Enumeration date
07/21/2006
Last updated
01/18/2016
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