Individual
MR. ALBERTO OLIVAS QUIAMBAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
60 HARVEY AVE, LINCROFT, NJ 07738-1304
(732) 576-1687
Mailing address
60 HARVEY AVE, LINCROFT, NJ 07738-1304
(732) 576-1687
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO09558400
NJ
282N00000X
General Acute Care Hospital
Primary
282N500000X
NJ
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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