Individual
LUIS ALZATE-DUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(201) 675-1900
(973) 676-1396
Mailing address
150 BERGEN ST, UH-I248, NEWARK, NJ 07103-2496
(973) 972-6056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10607900
NJ
208000000X
Pediatrics Physician
25MA10607900
NJ
Other
Enumeration date
04/29/2014
Last updated
02/22/2022
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