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1053700633
HOMERO PANIAGUA
WEST ORANGE, NJ
NPI
1053700633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NJ 26NJ00548000)
Enumeration Date
2015-01-20
Last Update Date
2015-01-20
Business Address
MR. HOMERO PANIAGUA APN
1001 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Phone number: 973-669-8448
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Mailing Address
MR. HOMERO PANIAGUA APN
375 MOUNT PLEASANT AVENUE SUITE 250
WEST ORANGE, NJ 07052
Phone number: 973-323-1320
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