Individual
DR. HUMBERTO T PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
646 JERSEY AVE, JERSEY CITY, NJ 07302-2014
(201) 656-5711
(201) 656-1072
Mailing address
646 JERSEY AVE, JERSEY CITY, NJ 07302-2014
(201) 656-5711
(201) 656-6354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA02353300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
520899
—
NJ
Enumeration date
10/20/2006
Last updated
11/03/2021
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