Edgardo Vallejo Md | |
240 Williamson St Suite 502 Elizabeth NJ 07202-3674 | |
(908) 352-1173 | |
(908) 352-0665 |
Full Name | Edgardo Vallejo Md |
---|---|
Speciality | Internal Medicine |
Location | 240 Williamson St, Elizabeth, New Jersey |
Authorized Official Name and Position | Edgardo C Vallejo (PRESIDENT) |
Authorized Official Contact | 9083521173 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Edgardo Vallejo Md 240 Williamson St Suite 502 Elizabeth NJ 07202-3674 Ph: (908) 352-1173 | Edgardo Vallejo Md 240 Williamson St Suite 502 Elizabeth NJ 07202-3674 Ph: (908) 352-1173 |
NPI Number | 1821302035 |
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Provider Enumeration Date | 07/29/2010 |
Last Update Date | 07/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821302035 | NPI | - | NPPES |
1709801 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA03310600 (New Jersey) | Primary |
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