Individual
GILBERTO FUENTES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MAIN ST, RIDGEFIELD PARK, NJ 07660-1649
(201) 870-6099
Mailing address
1 HARMON PLZ FL 10, SECAUCUS, NJ 07094-2803
(551) 220-4832
(551) 257-7255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA11405200
NJ
Other
Enumeration date
04/01/2019
Last updated
08/10/2022
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