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Individual

DR. LUIS GARAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
495 N 13TH ST, NEWARK, NJ 07107-1317
(973) 268-1400
Mailing address
66 W GILBERT ST, SUITE 100, TINTON FALLS, NJ 07701-4918
(721) 212-0060
(732) 212-0061

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06504000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7663803
NJ
Enumeration date
08/18/2005
Last updated
02/22/2008
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