Individual
DR. ALVARO TELLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
466 PARK AVE, PATERSON, NJ 07504-1806
(973) 345-1414
Mailing address
466 PARK AVE, PATERSON, NJ 07504-1806
(973) 345-1414
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
25MAO2310000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1825101
—
NJ
Enumeration date
10/31/2006
Last updated
10/24/2008
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