Individual
MR. LAURENCE ALFRED CHUA CRISOSTOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
100 N WASHINGTON AVE, BERGENFIELD, NJ 07621-1719
(201) 989-2863
Mailing address
100 N WASHINGTON AVE, BERGENFIELD, NJ 07621-1719
(201) 989-2863
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
690538-1
NY
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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