Organization
JULIO BAQUERIZO APN LLC
Active
Organization
JULIO BAQUERIZO APN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO BAQUERIZO APN (OWNER)
(732) 882-2573
Entity
Organization
Contact information
Practice address
10 GREEN ST UNIT 4-217, WOODBRIDGE, NJ 07095-3301
(732) 882-2573
(323) 241-8767
Mailing address
10 GREEN ST UNIT 4-217, WOODBRIDGE, NJ 07095-3301
(732) 882-2573
(323) 241-8767
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330574
—
NJ
01
—
26NJ00336100
STATE LICENSE
NJ
Enumeration date
08/22/2022
Last updated
05/01/2023
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