Individual
SANTIAGO ENRIQUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(201) 392-3100
Mailing address
384 W ENGLEWOOD AVE, TEANECK, NJ 07666-2832
(201) 837-6644
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA03051800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3641805
—
NJ
Enumeration date
06/01/2006
Last updated
03/10/2020
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