Individual
OMAR CORUJO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 7TH AVENUE, NEW YORK, NY 10011
(787) 598-0225
Mailing address
303 E 83RD STREET APT 7J, APT 7J, NEW YORK, NY 10028
(787) 598-0224
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12047 I
PR
Other
Enumeration date
08/04/2008
Last updated
05/21/2014
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