Individual
RACQUEL SAN JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 BISHOP PLACE, NEW BRUNSWICK, NJ 08901-1180
(732) 932-7402
(732) 932-1223
Mailing address
159 MOUNTAINVIEW RD, WARREN, NJ 07059
(908) 720-6520
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MB06938800
NJ
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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