Individual
DR. JOSEPH E. ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
416 BELLEVUE AVE, STE. 104, TRENTON, NJ 08618-4513
(609) 396-4700
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
05198600
NJ
207L00000X
Anesthesiology Physician
Primary
60625
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3620301
—
NJ
Enumeration date
08/17/2006
Last updated
04/09/2020
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