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1336285972
IVAN A ENRIQUEZ LEAL
ENGLEWOOD, NJ
NPI
1336285972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MA 230780)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
IVAN A ENRIQUEZ LEAL M.D.
C-O 350 ENGLE STREET
ENGLEWOOD, NJ 07631
Phone number: 201-894-3664
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Mailing Address
IVAN A ENRIQUEZ LEAL M.D.
276 ENGLE ST APT. #15B
ENGLEWOOD, NJ 07631-2441
Phone number: 201-894-3664
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