Individual
LUIS ENRIQUE VAZQUEZ FALCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7225 BERGENLINE AVE, FIRST FLOOR, NORTH BERGEN, NJ 07047-5497
(201) 758-8012
(201) 758-8012
Mailing address
7225 BERGENLINE AVE, FIRST FLOOR, NORTH BERGEN, NJ 07047-5497
(201) 758-8012
(201) 758-8013
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
07945600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D08758200
CDS
NJ
Enumeration date
08/14/2006
Last updated
03/07/2023
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