Individual
PRIMO MAESTRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 WOODSTOWN RD, SALEM, NJ 08079-2064
(856) 339-6021
(856) 935-5420
Mailing address
310 WOODSTOWN RD, SALEM, NJ 08079-2064
(856) 339-6021
(856) 935-5420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA07426900
NJ
Other
Enumeration date
02/23/2007
Last updated
10/07/2024
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