Individual
LUIS EDUARDO LUQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
26 FRITZ ST, BLOOMFIELD, NJ 07003-4044
(973) 336-6808
Mailing address
26 FRITZ ST, BLOOMFIELD, NJ 07003-4044
(973) 336-6808
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
18-544
WI
363LF0000X
Family Nurse Practitioner
Primary
26NJ01167100
NJ
Other
Enumeration date
02/28/2019
Last updated
11/19/2024
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