Individual
CARLOS ANDRES VILLAFUERTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 IVY ST, KEARNY, NJ 07032-3407
(201) 772-7636
Mailing address
235 IVY ST, KEARNY, NJ 07032-3407
(201) 772-7636
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
P103956
NY
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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