Individual
MARIA C VILLAQUIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA08010600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111325
—
NJ
01
—
1235300799
37 N DAY
NJ
01
—
1740345693
741 BROADWAY
NJ
01
—
1932370483
101 LUDLOW STREET
NJ
01
—
1972778413
1150 SPRINGFIELD AVE
NJ
Enumeration date
07/12/2006
Last updated
06/09/2008
Update your record
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