Individual
MRS. ELVIRA C BAQUERIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
901 W MAIN ST, SUITE 205 CN5050, FREEHOLD, NJ 07728-2537
(732) 866-0800
(732) 866-0018
Mailing address
686 DONALD AVE, PERTH AMBOY, NJ 08861-2529
(732) 324-1876
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00374200
NJ
Other
Enumeration date
06/26/2012
Last updated
01/13/2014
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