Individual
MR. ALLEN RENE ARCILLA TUPUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
626 RIDGE RD, LYNDHURST, NJ 07071-3206
(201) 372-3240
Mailing address
64 TUERS AVE APT 2B, JERSEY CITY, NJ 07306-3268
(201) 736-2822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40QA01078900
NJ
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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