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1700464237
JOHN REALYVASQUEZ
NEWARK, NJ
NPI
1700464237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-29
Last Update Date
2021-03-29
Business Address
JOHN REALYVASQUEZ MD
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 973-926-7000
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Mailing Address
JOHN REALYVASQUEZ MD
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 973-926-7000
Copy
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