Individual
DR. DIOSCORO T VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1935 ROUTE 70 E, CHERRY HILL, NJ 08003-2117
(856) 428-7700
(856) 424-9120
Mailing address
1935 ROUTE 70 E, CHERRY HILL, NJ 08003-2117
(856) 428-7700
(856) 424-9120
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA02781600
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA02781600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1474405
—
NJ
Enumeration date
05/08/2006
Last updated
09/08/2016
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