person
John Realyvasquez, MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1700464237

John Realyvasquez is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. John Realyvasquez practices in Newark, NJ and has the professional credentials of MD. The NPI Number for John Realyvasquez is 1700464237 and holds a License No. (New Jersey).

The current practice location address for John Realyvasquez is 201 Lyons Ave, Newark, NJ and can be reached out via phone at 973-926-7000 and via fax at 973-926-6542.

Location: 201 Lyons Ave, Newark, NJ, 07112-2027
person
Provider Profile Details
NPI Number
1700464237
Provider Name
John Realyvasquez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
201 Lyons Ave, Newark, NJ, 07112-2027
Phone Number
973-926-7000
Fax Number
973-926-6542
Provider Enumeration Date
03/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 Lyons Ave
City
State
Zip
07112-2027
Phone Number
973-926-7000
Fax Number
973-926-6542
person
Provider Business Mailing Address Details
Address
201 Lyons Ave
City
State
Zip
07112-2027
Phone Number
973-926-7000
Fax Number
973-926-6542
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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