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Individual

JAVIER I. ESCOBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 PATERSON ST, SUITE 2200, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7647
(732) 235-7677
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA06093200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6276300
NJ
Enumeration date
10/17/2006
Last updated
12/22/2010
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