Individual
ROMAN VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
403 ARMSTRONG AVE, JERSEY CITY, NJ 07305-1301
(718) 886-8175
Mailing address
403 ARMSTRONG AVE, JERSEY CITY, NJ 07305-1301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008279
NY
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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