Individual
HERALDO ERASME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 NEW YORK AVE APT D4, ELIZABETH, NJ 07202-3241
(908) 937-2673
Mailing address
420 NEW YORK AVE APT D4, ELIZABETH, NJ 07202-3241
(908) 937-2673
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
343923
NY
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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