Individual
MR. ELIZALDE LEGARDA VILLARUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1 SLATE HILL RD, NEWTON, NJ 07860-1113
(973) 383-8865
Mailing address
1 SLATE HILL RD, NEWTON, NJ 07860-1113
(973) 383-8865
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2NJ00970500
NJ
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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