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Organization

HUMBERTO T PEREZ MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HUMBERTO TOMAS PEREZ M.D. (PHYSICIAN)
(201) 656-5711
Entity
Organization

Contact information

Practice address
646 JERSEY AVE, JERSEY CITY, NJ 07302-2014
(201) 656-5711
(201) 656-6354
Mailing address
646 JERSEY AVE, JERSEY CITY, NJ 07302-2014
(201) 656-5711
(201) 656-6354

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA02353300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3804607
NJ
Enumeration date
05/16/2011
Last updated
05/16/2011
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