Individual
DR. MAURICIO RESTREPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. FAAP
Contact information
Practice address
2 E BLACKWELL ST, SUITE 19, DOVER, NJ 07801-4645
(973) 620-9924
Mailing address
2 E BLACKWELL ST, SUITE 19, DOVER, NJ 07801-4645
(973) 620-9924
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08639500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0296970
—
NJ
Enumeration date
12/29/2008
Last updated
10/04/2013
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