Organization
ADVANCED GENERAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL E VASQUEZ DURAN MD (OWNER)
(908) 440-6395
Entity
Organization
Contact information
Practice address
1019 E JERSEY ST, ELIZABETH, NJ 07201-5503
(929) 279-3379
Mailing address
1019 E JERSEY ST, ELIZABETH, NJ 07201-5503
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
06/29/2022
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