Individual
BLADIMIR TIBURCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91 HALSEY ST APT 401, NEWARK, NJ 07102-3086
(973) 234-6550
Mailing address
91 HALSEY ST APT 401, NEWARK, NJ 07102-3086
(973) 234-6550
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
20130004
NJ
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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