Individual
KEVIN VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ST. JOSEPH'S UNIVERSITY MEDICAL HOSPITAL 703 MAIN ST, PATERSON, NJ 07503
(973) 754-2000
Mailing address
5114 WYNDHURST DR, PLAINSBORO, NJ 08536-2035
(609) 815-1172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA11891200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
10/03/2023
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