VIRGILIO CORONADO VICENTE

NEWARK, NJ
NPI1780790998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: NJ  25MA06381500)
Enumeration Date2006-08-21
Last Update Date2016-08-25
Business Address
-- VIRGILIO CORONADO VICENTE MD
155 JEFFERSON ST SUITE # 3
NEWARK, NJ 07105-1706
Phone number: 973-466-0300
Mailing Address
-- VIRGILIO CORONADO VICENTE MD
PO BOX 254
WEST ORANGE, NJ 07052-0254
Phone number: 973-466-0300
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