Organization
LUIS E VAZQUEZ MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS E VAZQUEZ MD (OWNER)
(201) 758-8012
Entity
Organization
Contact information
Practice address
7225 BERGENLINE AVE, NORTH BERGEN, NJ 07047-5497
(201) 758-8012
(201) 758-8013
Mailing address
7225 BERGENLINE AVE, NORTH BERGEN, NJ 07047-5497
(201) 758-8012
(201) 758-8013
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07945600
NJ
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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