NPI 1295143196
Juan Quesada
Practice location
- Address
- 21 Craig Court, Elmwood Park, NJ 07407
- Phone
- (347) 854-8032
- Mailing address
- 21 Craig CT, Elmwood Park, NJ 07407-1110
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1295143196
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Jul 2014
- Record last updated
- 24 Jul 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.