Individual
DR. AUDREY P PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
317 GEORGE ST, PRIMARY CARE - VAMC, NEW BRUNSWICK, NJ 08901-2008
(732) 729-9555
(732) 729-0683
Mailing address
26 TOWER PL, FANWOOD, NJ 07023-1023
(908) 410-7422
(732) 729-0683
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA065845
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 065845
STAE LICENCE NUMBER
NJ
Enumeration date
07/27/2006
Last updated
07/08/2007
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