Individual
JUAN S. UTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 356-4935
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 356-4935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07997500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097594
—
NJ
Enumeration date
06/06/2006
Last updated
04/25/2016
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