JUAN L. RIESTRA

MONTCLAIR, NJ
NPI1841255320
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0805X Psychiatry & Neurology, Geriatric Psychiatry
(Licence: NJ  25MA05785800)
Enumeration Date2006-04-19
Last Update Date2010-08-30
Business Address
-- JUAN L. RIESTRA M.D.
70 PARK ST
MONTCLAIR, NJ 07042-5907
Phone number: 973-655-9300
Mailing Address
-- JUAN L. RIESTRA M.D.
1 RUBINO RD
WEST CALDWELL, NJ 07006-8033
Phone number: 973-985-1698
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