Organization
VICENTE NL MISION, M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTE NEVARDO LOZADA MISION M.D. (OWNER)
(732) 370-1900
Entity
Organization
Contact information
Practice address
403 CANDLEWOOD COMMONS, HOWELL, NJ 97731
(732) 370-1900
(732) 901-0916
Mailing address
403 CANDLEWOOD COMMONS, HOWELL, NJ 97731
(732) 370-1900
(732) 901-0916
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA038662
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4671104
—
NJ
Enumeration date
07/20/2006
Last updated
08/22/2020
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