Individual
MR. RUBEN DARIO HENRIQUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
AUDIOPROSTHOLOGIST
Contact information
Practice address
334 WASHINGTON ST, HOBOKEN, NJ 07030-4842
(201) 792-5100
(201) 792-0030
Mailing address
334 WASHINGTON ST, HOBOKEN, NJ 07030-4842
(201) 792-5100
(201) 792-0030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MG00075800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6852602
—
NJ
Enumeration date
11/02/2005
Last updated
07/09/2007
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