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1891752648
EDMUNDO C DE VERA
WEST NEW YORK, NJ
NPI
1891752648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ mao 61048)
Enumeration Date
2006-04-26
Last Update Date
2012-03-14
Business Address
Dr. EDMUNDO C DE VERA md
5301 BROADWAY
WEST NEW YORK, NJ 07093-2622
Phone number: 201-866-9320
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Mailing Address
Dr. EDMUNDO C DE VERA md
211 W ELMWOOD DR
SOUTH PLAINFIELD, NJ 07080-4914
Phone number: 908-755-9731
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