Individual
DR. CARLA VICTORIA ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., F.A.A.P.
Contact information
Practice address
1138 E CHESTNUT AVE, BLDG. 1, STE. C, VINELAND, NJ 08360-5053
(856) 691-8426
(856) 696-7053
Mailing address
1138 E CHESTNUT AVE, BLDG. 1, STE. C, VINELAND, NJ 08360-5053
(856) 691-8426
(856) 696-7053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02657600
MA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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