Individual
ALEJO TERRENCE DEGAWAN TABUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
JERSEY CITY MEDICAL CENTER, 355 GRAND STREET, JERSEY CITY, NJ 07302
(201) 915-2431
Mailing address
9516 130TH ST, SOUTH RICHMOND HILL, NEW YORK, NY 11419
(929) 481-1581
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
09/03/2020
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