Organization
REYES & NARVAEZ MD. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRUDENCIO CANTRE REYES MD (PRESIDENT)
(908) 490-0036
Entity
Organization
Contact information
Practice address
135 BLOOMFIELD AVE, SUITE B, BLOOMFIELD, NJ 07003-5902
(973) 473-3556
Mailing address
PO BOX 1214, PARAMUS, NJ 07653-1214
(973) 743-3556
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA40990
NJ
Other
Enumeration date
03/20/2007
Last updated
02/22/2011
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