Individual
MR. JULIO C BAQUERIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
10 GREEN ST, UNIT# 4 - 217, WOODBRIDGE, NJ 07095
(732) 882-2573
(732) 324-1876
Mailing address
10 GREEN ST, UNIT# 4 - 217, WOODBRIDGE, NJ 07095
(732) 882-2573
(732) 324-1876
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00336100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330574
—
NJ
Enumeration date
07/27/2011
Last updated
05/01/2023
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