Individual
EDMERMIRO VILORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
679 MONTGOMERY ST, JERSEY CITY, NJ 07306-3324
(201) 433-6500
(201) 433-8010
Mailing address
679 MONTGOMERY ST, JERSEY CITY, NJ 07306-3324
(201) 433-6500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04463300
NJ
207R00000X
Internal Medicine Physician
162994
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01551688
—
NY
05
—
0264962
—
NJ
01
—
06F671
MEDICARE-INDIVIDUAL
NY
01
—
442743MVH
MEDICARE-NJ
NJ
Enumeration date
08/19/2006
Last updated
07/15/2011
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