Individual
DR. DIEGO ALEJANDRO SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2000
Mailing address
1230 82ND ST, NORTH BERGEN, NJ 07047-4211
(201) 925-2469
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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