Individual
DR. HUMBERTO RAFAEL YEPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
88 CONGRESS ST, NEWARK, NJ 07105-1802
(973) 344-4772
Mailing address
88 CONGRESS ST, NEWARK, NJ 07105-1802
(973) 344-4772
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA03160700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0788406
—
NJ
Enumeration date
07/26/2006
Last updated
07/08/2007
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