Individual
DR. LUIS FERNANDO JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 60TH ST, LOWER LEVEL, WEST NEW YORK, NJ 07093-5422
(201) 295-3033
(201) 295-8592
Mailing address
301 60TH ST, LOWER LEVEL, WEST NEW YORK, NJ 07093-5422
(201) 295-3033
(201) 295-8592
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MAO7560000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104540
—
NJ
Enumeration date
03/24/2006
Last updated
03/17/2012
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