Individual
ALFRED VASQUEZ ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 ROUTE 70 STE 1, MEDFORD, NJ 08055-2371
(609) 367-0900
(609) 367-0901
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09878600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0550582
—
NJ
Enumeration date
03/26/2013
Last updated
01/03/2025
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