Individual
DR. REY FERNANDO PEDRAZA RAMOS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 BROADWAY, WEST NEW YORK, NJ 07093-2622
(201) 866-9320
(201) 392-9084
Mailing address
15 MSGR WOJTYCHA DR, JERSEY CITY, NJ 07305-4891
(201) 451-4308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA074676
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8930601
—
NJ
Enumeration date
05/08/2006
Last updated
07/08/2007
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