Individual
DR. JUAN ARMANDO DESUEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
416 PARK AVE, PATERSON, NJ 07504-1930
(973) 684-8138
(973) 684-0032
Mailing address
416 PARK AVE, PATERSON, NJ 07504-1930
(973) 684-8138
(973) 684-0032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA070265
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8142203
—
NJ
01
—
P3531958
OXFORD
NJ
Enumeration date
10/13/2006
Last updated
02/08/2011
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