Individual
MR. GUSTAVO A VIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
93 MARTIN ST, PATERSON, NJ 07501-3735
(973) 742-1875
Mailing address
93 MARTIN ST, PATERSON, NJ 07501-3735
(973) 742-1875
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
432A00261800
NJ
Other
Enumeration date
06/29/2010
Last updated
06/30/2010
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