Individual
RUBEN LUQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
80 MAIN ST, WEST ORANGE, NJ 07052-5460
(917) 282-5074
Mailing address
470 ESSEX AVE, BLOOMFIELD, NJ 07003-2814
(917) 282-5074
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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