Individual
DR. BRANDON VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 E 29TH ST, BAYONNE, NJ 07002-4654
(201) 858-6596
Mailing address
29 E 29TH ST, BAYONNE, NJ 07002-4654
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
04/03/2023
Last updated
04/29/2024
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